CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: UPMC Chautauqua at Wca

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $188
Cash Discount Price: $182
vs. Medicare Baseline: 1.76x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at UPMC Chautauqua at Wca is $188. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $182. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.76x the Medicare baseline. Located in 207 Foote Avenue, Jamestown, NY.

Cash / Self-Pay

$182

Average discount available for prompt cash payment at this facility.

Insurance Median

$188

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: $182 (170%)

Insurance Median: $188 (176%)

Cash: $182 (170% of Medicare)

Ins. Median: $188 (176% 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
Upmc Health Plan	$119 - $182	111%
Magnacare	$121 - $227	113%
Univera	$123	115%
Beacon	$130 - $162	122%
Fidelis	$130	122%
Humana	$130 - $242	122%
United Behavioral Health	$130	122%
UnitedHealthcare	$130 - $197	122%
Geisinger	$132	124%
Wellcare	$134	125%
Aetna	$135 - $197	126%
Health Partners Plans (Jefferson Health Plan)	$144	135%
Independent Health	$177 - $225	166%
Multiplan	$227	213%
Ghi/Emblem Health	$242	227%
Statewide Independent Ppo	$267	250%
Affordable First Health	$273	256%
Blue Cross Blue Shield	$326	305%

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 $182.
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 UPMC Chautauqua at Wca 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.