CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: UPMC Lititz

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $222
Cash Discount Price: $289
vs. Medicare Baseline: 2.08x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at UPMC Lititz is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $289. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.08x the Medicare baseline. Located in 1500 Highlands Drive, Lititz, PA.

Cash / Self-Pay

$289

Average discount available for prompt cash payment at this facility.

Insurance Median

$222

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: $289 (271%)

Insurance Median: $222 (208%)

Cash: $289 (271% of Medicare)

Ins. Median: $222 (208% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 208% of the Medicare baseline (a markup of 108%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Prime Net	$41 - $476	38%
Blue Cross Blue Shield	$61 - $321	57%
Keystone Health Plan	$61 - $308	57%
UnitedHealthcare	$75 - $484	70%
Aetna	$107 - $307	100%
Cigna	$107 - $589	100%
Geisinger	$107 - $475	100%
Amerihealth Caritas	$121	113%
Highmark Wholecare (Prev Gateway)	$121	113%
Upmc Health Plan	$124 - $460	116%
Health Partners Plans (Jefferson Health Plan)	$130	122%
Keystone Autism Services	$163	153%
Preferred Healthcare System	$168 - $493	157%
Multiplan	$260 - $558	243%
Premier Comp Solutions	$286	268%
Upmc Work Partners	$286	268%

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 $289.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UPMC Lititz is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.