CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: UPMC Memorial

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $163
  • Cash Discount Price: $264
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at UPMC Memorial is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $264. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.53x the Medicare baseline. Located in 1701 Innovation Drive, York, PA.
Cash / Self-Pay
$264

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: $264 (247%)
Insurance Median: $163 (153%)
Cash: $264 (247% 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
Prime Net $37 - $489 35%
Blue Cross Blue Shield $45 - $444 42%
Keystone Health Plan $45 - $444 42%
UnitedHealthcare $49 - $484 46%
Amerihealth Caritas $79 74%
Highmark Wholecare (Prev Gateway) $79 74%
Upmc Health Plan $81 - $460 76%
Health Partners Plans (Jefferson Health Plan) $85 80%
Geisinger $91 - $475 85%
Aetna $93 - $373 87%
Cigna $107 - $589 100%
Wellspan Population Health $157 - $460 147%
Keystone Autism Services $163 153%
Multiplan $190 - $558 178%
Premier Comp Solutions $213 199%
Upmc Work Partners $213 199%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Innovation Drive, York, PA 17408
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals