CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: The University of Vermont Health Network - Champl

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $107
Cash Discount Price: $335
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at The University of Vermont Health Network - Champl is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $335. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.00x the Medicare baseline. Located in 75 Beekman Street, Plattsburgh, NY.

Cash / Self-Pay

$335

Average discount available for prompt cash payment at this facility.

Insurance Median

$107

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: $335 (314%)

Insurance Median: $107 (100%)

Cash: $335 (314% of Medicare)

Ins. Median: $107 (100% 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
Blue Cross Blue Shield	$22 - $617	21%
UnitedHealthcare	$25 - $373	23%
Mvp	$31 - $389	29%
Aetna	$36 - $349	34%
Capital District Physicians' Health Plan	$36 - $385	34%
Fidelis Care	$36 - $130	34%
Humana	$36 - $123	34%
Martins Point	$36 - $139	34%
Veterans Affairs Community Care Network	$36 - $130	34%
Highmark Blueshield	$45 - $386	42%
Wellpath	$50 - $195	47%
St. Regis	$130 - $144	122%
Harvard Pilgrim	$144 - $391	135%
Magnacare	$144 - $391	135%
Coventry	$162 - $440	152%
Multiplan	$171 - $465	160%
Emblem Health	$391	366%

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 $335.
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 The University of Vermont Health Network - Champl 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.