CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Jefferson Abington Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $92
  • Cash Discount Price: $75
  • vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Jefferson Abington Hospital is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $75. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.86x the Medicare baseline. Located in 1200 Old York Road, Abington, PA.
Cash / Self-Pay
$75

Average discount available for prompt cash payment at this facility.

Insurance Median
$92

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: $75 (70%)
Insurance Median: $92 (86%)
Cash: $75 (70% of Medicare)
Ins. Median: $92 (86% 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
Jup Health Partners Chip $22 - $85 21%
Medicaid / KanCare $22 - $125 21%
Medicare (plans) $23 - $122 22%
Jup Pa Health_Wellness $32 - $81 30%
Abington Pro Ibc $37 - $122 35%
Aetna $37 - $98 35%
Jup Geisinger Commercial $42 - $217 39%
Jup Highmark $51 - $160 48%
Jab Health Partners $53 50%
Jefferson Health Plan Aca Qhp Exchange $88 82%
Innovage $92 86%
Inspira Life $92 86%
Point Of Comfort Refugee Resettlement $92 86%
Provider Partners Health Plan $92 86%
St Agnes $92 86%
Tricare $92 86%
UnitedHealthcare $92 - $100 86%
Humana $94 88%
Cigna $96 90%
Devoted Health Participation $97 91%
Keystone First Vip Choice $99 93%
Allwell Pa Health_Wellness Ma $102 95%
Perennial $107 100%
Highmark Wholecare Gateway $108 101%
Ibc Employee Benefit $115 108%
Ibc Main Line Health $115 108%
Ibc $129 121%
Ambetter / Centene $134 125%
Blue Cross Blue Shield $136 127%
Naphcare $148 139%
Geisinger Health Plan $376 - $379 352%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 Old York Road, Abington, PA 19001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals