CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Ira Davenport Memorial Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $640
Cash Discount Price: $666
vs. Medicare Baseline: 5.99x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Ira Davenport Memorial Hospital is $640. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $666. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.99x the Medicare baseline. Located in 7571 State Route 54, Bath, NY.

Cash / Self-Pay

$666

Average discount available for prompt cash payment at this facility.

Insurance Median

$640

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: $666 (624%)

Insurance Median: $640 (599%)

Cash: $666 (624% of Medicare)

Ins. Median: $640 (599% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 599% of the Medicare baseline (a markup of 499%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Empire	$21 - $78	20%
Blue Cross Blue Shield	$112 - $3,338	105%
Fidelis	$112	105%
Humana	$126 - $990	118%
Tricare	$126	118%
Amerihealth Caritas Mcr Adv - All Plans	$127	119%
Fidelis Care - Exchange - All Plans	$605	566%
Geisinger - All Plans	$640	599%
Cigna	$685	641%
Mvp Health Plan - All Plans	$685	641%
Independent Health - All Plans	$715	669%
Upmc - All Plans	$759	711%
Pomco Inc - All Plans	$792	742%
Aetna	$825 - $982	772%
UnitedHealthcare	$825 - $1,155	772%
Emblem Health - All Plans	$968	906%
Emblem/Ghi	$1,017	952%
Martins Point - All Plans	$1,100	1030%
Healthnow - All Plans	$3,624	3393%

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 $666.
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 Ira Davenport Memorial Hospital 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.