CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Hospital of Univ of Pennsylvania

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $549
  • Cash Discount Price: $1,819
  • vs. Medicare Baseline: 5.14x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Hospital of Univ of Pennsylvania is $549. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,819. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.14x the Medicare baseline. Located in 3400 Spruce St, Philadelphia, PA.
Cash / Self-Pay
$1,819

Average discount available for prompt cash payment at this facility.

Insurance Median
$549

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: $1,819 (1703%)
Insurance Median: $549 (514%)
Cash: $1,819 (1703% of Medicare)
Ins. Median: $549 (514% 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 514% of the Medicare baseline (a markup of 414%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Gspp And Wissahickon Hospice $55 51%
Health Partners $58 - $1,819 54%
Medicaid / KanCare $58 - $1,819 54%
Kaiser Permanente $60 - $1,819 56%
Keystone Mercy Health Plan $74 - $1,819 69%
Upmc $86 - $1,819 81%
Pa Medical Assistance $95 - $1,819 89%
UnitedHealthcare $97 - $1,819 91%
Blue Cross Blue Shield $110 - $1,577 103%
Medicare (plans) $110 - $112 103%
Philadelphia Va Medical Center $110 103%
Tricare $110 103%
Ibc $112 105%
Cigna $113 - $819 106%
Geisinger Health Plan $113 - $349 106%
Humana $113 - $1,455 106%
Devoted Health $115 108%
Pa Health And Wellness $115 - $181 108%
Penn Life (Living Independently For Elders) $115 108%
Aetna $116 - $1,819 109%
Clover Health Plan $119 111%
Keystone First $122 114%
Keystone Hmo Proactive $125 117%
Us Family Health Plan $126 118%
Ibc Commercial Hpn $129 121%
Gateway Health Plan $136 127%
Paired Kidney Exchange $146 137%
Elap $156 146%
Claims Watcher $176 - $198 165%
Oscar Health Plan $187 175%
Centivo $198 185%
Elap Services $204 191%
Highmark $231 216%
Penn Global Medicine $291 272%
Horizon Nj Health $307 - $320 287%
Preferred Health Care Eliance $400 374%
Pgm - Regie De L'Assurance Maladie Quebec $418 391%
Pgm - Kuwait Defense $637 - $819 596%
Qualcare $691 647%
Olympus $715 669%
Coventry $728 - $928 682%
Pgm - Chop $728 682%
Wissahickon Hospice $728 682%
Healthamerica/Coventry $819 - $891 767%
First Health Global $910 852%
Health Net $1,091 1021%
Pgm - Royal Embassy Of Saudi Arabia $1,091 1021%
Pgm - Embassy Of Qatar $1,182 1107%
Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) $1,182 1107%
Interlink $1,219 1141%
Pgm - Embassy Of The United Emirates/Ipc $1,273 1192%
Health America/Ccn $1,455 1362%
Intergroup $1,455 1362%
Pgm - Kuwait Health Division $1,455 1362%
Pgm - Kuwait Oil $1,455 1362%
Preferred Care $1,455 1362%
Blue Quality Centers For Transplant (Bqct) $1,819 1703%
City Of Philadelphia Behavioral Health $1,819 1703%
Commercial Other $1,819 1703%
International Pfs $1,819 1703%
United Behavioral Health $1,819 1703%
Workers Compensation $1,819 1703%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3400 Spruce St, Philadelphia, PA 19104
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals