CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Soldiers and Sailors Memorial Hospital of Yates

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $150
Cash Discount Price: $142
vs. Medicare Baseline: 1.40x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Soldiers and Sailors Memorial Hospital of Yates is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $142. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.40x the Medicare baseline. Located in 418 North Main Street, Penn Yan, NY.

Cash / Self-Pay

$142

Average discount available for prompt cash payment at this facility.

Insurance Median

$150

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: $142 (133%)

Insurance Median: $150 (140%)

Cash: $142 (133% of Medicare)

Ins. Median: $150 (140% 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
Excellus Blue Choice Options	$98 - $110	92%
Excellus Blue Choice	$130 - $147	122%
UnitedHealthcare	$130 - $302	122%
Wellcare	$130 - $147	122%
Aetna	$147 - $166	138%
Mvp Health Care	$147 - $166	138%
Blue Cross Blue Shield	$153 - $174	143%
Emblem	$284 - $321	266%

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 $142.
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 Soldiers and Sailors Memorial Hospital of Yates 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.