CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Good Samaritan Hospital Medical Center

Billing Code: 76700 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$139

about 1.3× the $107 Medicare rate · typically $99–$310

modeled estimate · not a bill or quote

What this hospital charges insurers

$128

About the fair price

about $11 under the fair price · 1.2× Medicare

Medicare pays $107 Fair price $139 This hospital $128 Hospital's list price $1,338

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $39 Priciest $128

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, abdomen (complete) is about $139 (about 1.3× the $107 Medicare rate). Good Samaritan Hospital Medical Center charges insurers about $128 — about the fair price. Located in West Islip, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$61 - $870	57%
Blue Cross Blue Shieldmajor	$123 - $305	115%
Aetnamajor	$126 - $1,137	118%
Cignamajor	$194 - $870	182%
Humanamajor	$128	120%
AmeriHealth	$283	265%
Cigna HealthSpring	$126	118%
Fidelis Care	$61 - $136	57%
Independent Health	$61 - $126	57%
MVP Health Care	$61 - $194	57%
Oscar Health	$549	514%
UniCare	$870	815%
WellCare	$138	129%
+ 41 smaller / regional plans	$61 - $1,338

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76700.

Insurance Before you use insurance

Call your insurance company to confirm Good Samaritan Hospital Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 76700.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Good Samaritan Hospital Medical Center

Compare: Ultrasound, abdomen (complete) at other NY hospitals

Insurance negotiated median for the same procedure, sorted lowest first.