CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Elizabethtown Community Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $105
Cash Discount Price: $81
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Elizabethtown Community Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.98x the Medicare baseline. Located in 75 Park Street, Elizabethtown, NY.

Cash / Self-Pay

$81

Average discount available for prompt cash payment at this facility.

Insurance Median

$105

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: $81 (76%)

Insurance Median: $105 (98%)

Cash: $81 (76% of Medicare)

Ins. Median: $105 (98% 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
Capital District Physicians' Health Plan	$55 - $601	51%
UnitedHealthcare	$56 - $673	52%
Harvard Pilgrim	$65 - $585	61%
Magnacare	$65 - $585	61%
Fidelis Care	$68 - $278	64%
Mvp	$68 - $571	64%
Coventry	$69 - $621	65%
Blue Cross Blue Shield	$72 - $549	67%
Multiplan	$73 - $658	68%
Humana	$76 - $101	71%
Aetna	$80 - $548	75%
Martins Point	$80 - $278	75%
Veterans Affairs Community Care Network	$80 - $278	75%
Choicecare	$89 - $585	83%
Highmark Blueshield	$99 - $596	93%
Wellpath	$113 - $417	106%
Emblem Health	$585	548%

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 $81.
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 Elizabethtown Community 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.