CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $163
  • Cash Discount Price: $282
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Cincinnati Children's Hospital Medical Center is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $282. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.53x the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.
Cash / Self-Pay
$282

Average discount available for prompt cash payment at this facility.

Insurance Median
$163

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: $282 (264%)
Insurance Median: $163 (153%)
Cash: $282 (264% of Medicare)
Ins. Median: $163 (153% 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.

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 $25 - $895 23%
Aetna $26 - $864 24%
Mhs_In $26 - $91 24%
Caresource_In $27 - $96 25%
Passport_Ky $27 - $237 25%
Humana $28 - $235 26%
United_Health_Care_Ky $28 - $240 26%
Wellcare_Ky $28 - $239 26%
Caresource_Oh $47 - $224 44%
Amerihealth_Caritas_Oh $49 - $242 46%
Molina_Oh $50 - $247 47%
Buckeye_Oh $52 - $258 49%
United_Health_Care_Oh $56 - $237 52%
Caresource_Oh_Insurance $94 - $437 88%
Medical_Mutual_Of_Ohio_Insurance $104 - $864 97%
Parkview_Signature_Care_Insurance $120 - $710 112%
Point_Comfort_Insurance $127 - $592 119%
Margaret_Mary_Health_Insurance $129 - $710 121%
United_Health_Care_Insurance $149 - $815 140%
Beechstreet_Insurance $157 - $892 147%
Cigna $157 - $864 147%
Health_Ohio_Network_Insurance $177 - $864 166%
Custom_Design_Benefits_Insurance $185 - $864 173%
Health_Smart_Preferred_Insurance $185 - $864 173%
Medical_Benefit_Administrators_Insurance $185 - $864 173%
Ohio_Health_Choice_Insurance $185 - $864 173%
Private_Health_Care_Systems_Insurance $187 - $874 175%
First_Health_Group_Insurance $191 - $892 179%
Health_Link_Insurance $191 - $892 179%
Evolutions_Health_Care_Systems $195 - $910 183%
Galaxy_Health_Insurance $195 - $910 183%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 Burnet Avenue, Cincinnati, OH 45229
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens