CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Queens Hospital Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $275
Cash Discount Price: $127
vs. Medicare Baseline: 2.57x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Queens Hospital Center is $275. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $127. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.57x the Medicare baseline. Located in 82-68 164Th Street, Jamaica, NY.

Cash / Self-Pay

$127

Average discount available for prompt cash payment at this facility.

Insurance Median

$275

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: $127 (119%)

Insurance Median: $275 (257%)

Cash: $127 (119% of Medicare)

Ins. Median: $275 (257% 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 257% of the Medicare baseline (a markup of 157%). 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
Aetna	$30 - $1,131	28%
Healthfirst	$33 - $1,774	31%
Amidacare	$41 - $788	38%
Emblem	$41 - $1,261	38%
Wellcare	$44 - $141	41%
Metroplus	$52 - $1,774	49%
Fidelis	$59 - $1,774	55%
Oscar	$62 - $614	58%
Affinity	$115 - $1,774	108%
Blue Cross Blue Shield	$126 - $1,774	118%
Elderplan	$126 - $972	118%
Vaccn	$126	118%
Vnsny	$126 - $1,271	118%
Centerlight	$131 - $748	123%
Centers Plan For Healthy Living	$131 - $136	123%
Hamaspik	$137	128%
Oxford	$147 - $897	138%
United	$147 - $1,196	138%
Local 1199	$152 - $1,271	142%
Cigna	$190 - $1,121	178%
Magnacare	$320 - $1,121	300%
Carelon	$788 - $972	738%
Senior Whole Health	$788	738%
United Behavioral Health	$788 - $867	738%
Carelon (Amida Care)	$804	753%
Multiplan	$1,196	1120%
Villagecare Max	$1,271	1190%

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 $127.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Queens Hospital Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.