CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: NYU Langone Hospitals

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $440
Cash Discount Price: $307
vs. Medicare Baseline: 4.12x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at NYU Langone Hospitals is $440. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $307. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.12x the Medicare baseline. Located in 550 First Avenue, New York, NY.

Cash / Self-Pay

$307

Average discount available for prompt cash payment at this facility.

Insurance Median

$440

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: $307 (287%)

Insurance Median: $440 (412%)

Cash: $307 (287% of Medicare)

Ins. Median: $440 (412% 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 412% of the Medicare baseline (a markup of 312%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Fidelis	$62 - $110	58%
Healthplus	$62 - $539	58%
Healthfirst	$66 - $539	62%
1199	$73	68%
Ghi	$126 - $12,574	118%
Hip	$126 - $8,427	118%
Medicare (plans)	$126	118%
Wellcare	$126	118%
Centerlight	$128	120%
Hamaspik	$189	177%
Medicaid / KanCare	$195 - $239	183%
Metroplus	$195 - $539	183%
UnitedHealthcare	$195 - $717	183%
Somos	$205 - $323	192%
Amida	$261 - $263	244%
Aetna	$335 - $1,616	314%
Oxford	$342 - $665	320%
Blue Cross Blue Shield	$578 - $723	541%
Oscar	$603	565%
Multiplan	$1,261	1181%
Cigna	$6,487	6073%
Magnacare	$13,453 - $25,798	12595%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $307.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm NYU Langone Hospitals is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.