CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Penn State Health St. Joseph

Billing Code: 76700 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$95

about 0.9× the $107 Medicare rate · typically $65–$141

modeled estimate · not a bill or quote

What this hospital charges insurers

$107

About the fair price

about $12 over the fair price · 1.0× Medicare

Medicare pays $107 Fair price $95 This hospital $107 Cash price $138 Hospital's list price $532

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $69 Priciest $107

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, abdomen (complete) is about $95 (about 0.9× the $107 Medicare rate). Penn State Health St. Joseph charges insurers about $107, or about $138 in cash — about the fair price. Located in Reading, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$106 - $360	99%
Blue Cross Blue Shieldmajor	$90 - $578	84%
Aetnamajor	$107 - $301	100%
Cignamajor	$326 - $350	305%
Humanamajor	$107	100%
AmeriHealth	$90 - $106	84%
Cigna HealthSpring	$107	100%
Geisinger	$96 - $384	90%
HealthPartners	$99 - $108	93%
UPMC Health Plan	$108 - $393	101%
+ 3 smaller / regional plans	$99 - $264

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 138), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76700.

Insurance Before you use insurance

Call your insurance company to confirm Penn State Health St. Joseph is in-network.
Ask your insurer whether prior approval is required for CPT code 76700.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Penn State Health St. Joseph

Compare: Ultrasound, abdomen (complete) at other PA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.