CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Ellenville Regional Hospital

Billing Code: 76705 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$165

about 1.5× the $107 Medicare rate · typically $104–$293

modeled estimate · not a bill or quote

Medicare pays $107 Fair price $165 Cash price $240 Hospital's list price $320

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$13 - $489	12%
Blue Cross Blue Shieldmajor	$35 - $240	33%
Aetnamajor	$40 - $420	37%
Humanamajor	$35 - $240	33%
CDPHP	$32 - $222	30%
EmblemHealth	$30 - $480	28%
Fidelis Care	$35 - $240	33%
MVP Health Care	$37 - $450	35%
WellCare	$48 - $330	45%
+ 3 smaller / regional plans	$35 - $489

Excludes 1 rental-network / third-party entry (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 (about 240), 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: 76705.

Insurance Before you use insurance

Call your insurance company to confirm Ellenville Regional Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 76705.
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 Ellenville Regional Hospital

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

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