CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Punxsutawney Area Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $81
Cash Discount Price: $120
vs. Medicare Baseline: 0.76x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Punxsutawney Area Hospital is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $120. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.76x the Medicare baseline. Located in 81 Hillcrest Drive, Punxsutawney, PA.

Cash / Self-Pay

$120

Average discount available for prompt cash payment at this facility.

Insurance Median

$81

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: $120 (112%)

Insurance Median: $81 (76%)

Cash: $120 (112% of Medicare)

Ins. Median: $81 (76% 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.

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
Highmark Wholecare	$16 - $101	15%
UnitedHealthcare	$18 - $211	17%
Tricare	$24 - $99	22%
Aetna	$26 - $296	24%
Amerihealth Caritas	$26 - $107	24%
Highmark	$26 - $1,137	24%
Cigna	$27 - $313	25%
Geisinger Health Plan	$27 - $109	25%
United Mine Workers Of America	$27 - $109	25%
Upmc Health Plan	$27 - $264	25%
Ambetter / Centene	$28 - $115	26%
Pa Health And Wellness Commercial	$33 - $218	31%
Geisinger	$37 - $305	35%
Humana	$107	100%
Pa Workers Compensation	$122 - $527	114%

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 $120.
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 Punxsutawney Area Hospital 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.