CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Saratoga Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $96
Cash Discount Price: $139
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Saratoga Hospital is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $139. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.90x the Medicare baseline. Located in 211 Church Street, Saratoga Springs, NY.

Cash / Self-Pay

$139

Average discount available for prompt cash payment at this facility.

Insurance Median

$96

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: $139 (130%)

Insurance Median: $96 (90%)

Cash: $139 (130% of Medicare)

Ins. Median: $96 (90% 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.

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
Aetna	$29 - $615	27%
Cdphp	$55 - $423	51%
Blue Cross Blue Shield	$60 - $754	56%
Fidelis	$60 - $423	56%
Medicare (plans)	$60 - $80	56%
Medicaid / KanCare	$69 - $80	65%
Hamaspik	$75 - $442	70%
Tricare	$77 - $80	72%
Emblem Health Ghi	$80 - $89	75%
Mvp	$80 - $151	75%
UnitedHealthcare	$80 - $1,130	75%
Blue Shield	$94 - $285	88%
Mvp Commercial	$99 - $879	93%
Blue Shield Highmark	$103 - $251	96%
Nascentia Health Options	$122	114%
Cigna	$125 - $151	117%
Emblem	$126	118%
Mvp Essential Plan	$188 - $376	176%
Mvp Govt Programs	$188	176%
Empire Plan Nyship	$194 - $879	182%
Multiplan	$208 - $1,068	195%
Magnacare	$249 - $1,193	233%

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 $139.
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 Saratoga Hospital 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.