CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Kings County Hospital Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $320
  • Cash Discount Price: $126
  • vs. Medicare Baseline: 3.00x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Kings County Hospital Center is $320. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.00x the Medicare baseline. Located in 451 Clarkson Avenue, Brooklyn, NY.
Cash / Self-Pay
$126

Average discount available for prompt cash payment at this facility.

Insurance Median
$320

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $126 (118%)
Insurance Median: $320 (300%)
Cash: $126 (118% of Medicare)
Ins. Median: $320 (300% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 300% of the Medicare baseline (a markup of 200%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $30 - $1,131 28%
Healthfirst $33 - $1,783 31%
Amidacare $42 - $793 39%
Emblem $42 - $1,268 39%
Wellcare $45 - $143 42%
Metroplus $52 - $1,783 49%
Fidelis $60 - $1,783 56%
Oscar $62 - $614 58%
Affinity $116 - $1,783 109%
Blue Cross Blue Shield $126 - $1,783 118%
Elderplan $126 - $972 118%
Vaccn $126 118%
Vnsny $126 - $1,271 118%
Centers Plan For Healthy Living $131 - $137 123%
Centerlight $132 - $748 124%
Hamaspik $139 130%
Local 1199 $152 - $1,271 142%
Magnacare $320 - $1,121 300%
Oxford $362 - $897 339%
United $434 - $1,196 406%
Carelon $793 - $972 742%
Senior Whole Health $793 742%
United Behavioral Health $793 - $872 742%
Carelon (Amida Care) $808 756%
Cigna $1,121 1050%
Multiplan $1,196 1120%
Villagecare Max $1,271 1190%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 451 Clarkson Avenue, Brooklyn, NY 11203
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals