CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Harlem Hospital Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $205
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.92x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Harlem Hospital Center is $205. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.92x the Medicare baseline. Located in 506 Lenox Avenue, New York, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$205

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%)
Insurance Median: $205 (192%)
Ins. Median: $205 (192% 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.

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 $22 - $1,131 21%
Healthfirst $24 - $461 22%
Amidacare $30 - $205 28%
Emblem $30 - $381 28%
Wellcare $32 - $286 30%
Metroplus $39 - $461 37%
Fidelis $43 - $461 40%
Oscar $45 - $262 42%
Blue Cross Blue Shield $126 - $461 118%
Elderplan $126 - $310 118%
Vaccn $126 118%
Vnsny $126 - $405 118%
Centers Plan For Healthy Living $131 123%
Cigna $144 - $358 135%
Oxford $147 - $286 138%
United $147 - $381 138%
Carelon $205 - $310 192%
Senior Whole Health $205 192%
United Behavioral Health $205 - $226 192%
Affinity $209 - $461 196%
Carelon (Amida Care) $209 196%
Centerlight $238 223%
Magnacare $358 335%
Multiplan $381 357%
Local 1199 $405 379%
Villagecare Max $405 379%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 Lenox Avenue, New York, NY 10037
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals