CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Mercy Hospital of Buffalo

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $62
  • Cash Discount Price: $227
  • vs. Medicare Baseline: 0.58x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Mercy Hospital of Buffalo is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.58x the Medicare baseline. Located in 565 Abbott Road, Buffalo, NY.
Cash / Self-Pay
$227

Average discount available for prompt cash payment at this facility.

Insurance Median
$62

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: $227 (213%)
Insurance Median: $62 (58%)
Cash: $227 (213% of Medicare)
Ins. Median: $62 (58% 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
UnitedHealthcare $19 - $85 18%
Blue Cross Blue Shield $22 - $129 21%
Medicaid / KanCare $22 - $111 21%
VA Veterans Affairs [700001] $23 - $83 22%
Univera Healthcare [100169] $24 - $103 22%
Beacon Essential [350122] $24 - $100 22%
Univera Healthcare Essential [100170] $24 - $73 22%
Fidelis Essential [100163] $24 - $100 22%
Vna Option Mltc [350110] $25 - $80 23%
Tuscarora Nation [550120] $25 - $80 23%
Amerigroup [350102] $25 - $129 23%
Crime Victims [100176] $25 - $80 23%
Ghi [100153] $25 - $79 23%
Excellus Rochester McD [350117] $25 - $80 23%
Independent Health Essential [100166] $25 - $133 23%
Medicare (plans) $26 - $161 24%
Meritain [100063] $27 - $83 25%
Magnacare [100142] $27 - $83 25%
Aetna $27 - $87 25%
Tricare $27 - $83 25%
Hospice [550001] $27 - $83 25%
Seneca Nation [450119] $27 - $83 25%
Catholic Health Life Pace [400005] $27 - $83 25%
Humana $27 - $87 25%
Fallon Health [450115] $27 - $83 25%
Cigna $27 - $121 25%
Champ VA [700002] $27 - $83 25%
Covid19 Hrsa [45013] $27 - $83 25%
Wellcare Fidelis Dual [450451] $28 - $87 26%
Fidelis Dual Advantage [450120] $28 - $87 26%
Independent Health [100165] $29 - $267 27%
Wellcare [450129] $29 - $91 27%
Iha First Choice [800001] $29 - $268 27%
Fidelis Exchange [100164] $32 - $100 30%
UPMC Health Plan [100181] $32 - $150 30%
Beacon Health Options [100023] $32 - $100 30%
Mvp Healthcare [100168] $36 - $111 34%
Molina Essential [100167] $55 - $181 51%
No Fault [114001] $81 - $179 76%
Federal Workers Compensation [500100] $81 - $179 76%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 565 Abbott Road, Buffalo, NY 14220
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals