CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: The University of Vermont Health Network-Alice Hy

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $72
Cash Discount Price: $365
vs. Medicare Baseline: 0.67x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at The University of Vermont Health Network-Alice Hy is $72. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $365. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.67x the Medicare baseline. Located in 133 Park Street, Po Box 729, Malone, NY.

Cash / Self-Pay

$365

Average discount available for prompt cash payment at this facility.

Insurance Median

$72

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: $365 (342%)

Insurance Median: $72 (67%)

Cash: $365 (342% of Medicare)

Ins. Median: $72 (67% 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
Blue Cross Blue Shield	$16 - $344	15%
Capital District Physicians' Health Plan	$18 - $653	17%
UnitedHealthcare	$18 - $685	17%
Fidelis Care	$22 - $222	21%
Humana	$22 - $222	21%
Mvp	$22 - $222	21%
Aetna	$26 - $598	24%
Martins Point	$26 - $222	24%
Veterans Affairs Community Care Network	$26 - $222	24%
Choicecare	$28 - $521	26%
Magnacare	$28 - $556	26%
Highmark Blueshield	$34 - $623	32%
St. Regis	$111 - $222	104%

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 $365.
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 The University of Vermont Health Network-Alice Hy 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.