CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: The University of Vermont Health Network - Champl

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $74
Cash Discount Price: $678
vs. Medicare Baseline: 0.69x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at The University of Vermont Health Network - Champl is $74. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $678. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.69x the Medicare baseline. Located in 75 Beekman Street, Plattsburgh, NY.

Cash / Self-Pay

$678

Average discount available for prompt cash payment at this facility.

Insurance Median

$74

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: $678 (635%)

Insurance Median: $74 (69%)

Cash: $678 (635% of Medicare)

Ins. Median: $74 (69% 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	$16 - $779	15%
UnitedHealthcare	$18 - $929	17%
Mvp	$22 - $969	21%
Aetna	$26 - $868	24%
Capital District Physicians' Health Plan	$26 - $959	24%
Fidelis Care	$26 - $130	24%
Humana	$26 - $123	24%
Martins Point	$26 - $139	24%
Veterans Affairs Community Care Network	$26 - $130	24%
Highmark Blueshield	$33 - $961	31%
Wellpath	$37 - $195	35%
Harvard Pilgrim	$111 - $974	104%
Magnacare	$111 - $974	104%
St. Regis	$111 - $130	104%
Coventry	$125 - $1,095	117%
Multiplan	$132 - $1,156	124%
Emblem Health	$974	912%

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 $678.
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 The University of Vermont Health Network - Champl 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.