CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Magee Womens Hospital of UPMC Health System

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $938
Cash Discount Price: $1,367
vs. Medicare Baseline: 8.78x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Magee Womens Hospital of UPMC Health System is $938. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,367. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.78x the Medicare baseline. Located in 300 Halket Street, Pittsburgh, PA.

Cash / Self-Pay

$1,367

Average discount available for prompt cash payment at this facility.

Insurance Median

$938

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: $1,367 (1280%)

Insurance Median: $938 (878%)

Cash: $1,367 (1280% of Medicare)

Ins. Median: $938 (878% 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 878% of the Medicare baseline (a markup of 778%). 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
UnitedHealthcare	$69 - $109	65%
Upmc Health Plan	$69 - $299	65%
Aetna	$81 - $1,243	76%
Highmark Wholecare (Prev Gateway)	$93 - $109	87%
Geisinger	$97	91%
Blue Cross Blue Shield	$98 - $572	92%
Amerihealth Caritas	$99 - $109	93%
Pa Health & Wellness	$107	100%
Upmc Work Partners	$219	205%
Cigna	$885 - $1,243	829%
Intergroup	$1,106 - $1,172	1035%
Coventry/First Health	$1,548 - $1,642	1449%
Preferred Healthcare System	$1,770 - $1,876	1657%
Humana	$1,880 - $1,993	1760%
Private Health Care Systems	$1,880 - $1,993	1760%
Multiplan	$2,035 - $2,157	1905%

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 $1,367.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Magee Womens Hospital of UPMC Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
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.