CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $119
  • Cash Discount Price: $234
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Cincinnati Children's Hospital Medical Center is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $234. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.11x the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.
Cash / Self-Pay
$234

Average discount available for prompt cash payment at this facility.

Insurance Median
$119

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: $234 (219%)
Insurance Median: $119 (111%)
Cash: $234 (219% of Medicare)
Ins. Median: $119 (111% 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 $18 - $761 17%
Aetna $19 - $735 18%
Caresource_In $19 - $76 18%
Mhs_In $19 - $72 18%
Humana $20 - $194 19%
Passport_Ky $20 - $201 19%
United_Health_Care_Ky $20 - $204 19%
Wellcare_Ky $20 - $204 19%
Caresource_Oh $34 - $146 32%
Amerihealth_Caritas_Oh $35 - $157 33%
Molina_Oh $36 - $160 34%
Buckeye_Oh $38 - $168 36%
United_Health_Care_Oh $41 - $154 38%
Caresource_Oh_Insurance $68 - $372 64%
Medical_Mutual_Of_Ohio_Insurance $76 - $735 71%
Parkview_Signature_Care_Insurance $87 - $604 81%
Point_Comfort_Insurance $92 - $503 86%
Margaret_Mary_Health_Insurance $94 - $604 88%
United_Health_Care_Insurance $108 - $694 101%
Beechstreet_Insurance $115 - $759 108%
Cigna $115 - $735 108%
Health_Ohio_Network_Insurance $129 - $735 121%
Custom_Design_Benefits_Insurance $135 - $735 126%
Health_Smart_Preferred_Insurance $135 - $735 126%
Medical_Benefit_Administrators_Insurance $135 - $735 126%
Ohio_Health_Choice_Insurance $135 - $735 126%
Private_Health_Care_Systems_Insurance $136 - $743 127%
First_Health_Group_Insurance $139 - $759 130%
Health_Link_Insurance $139 - $759 130%
Evolutions_Health_Care_Systems $142 - $774 133%
Galaxy_Health_Insurance $142 - $774 133%

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