CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: St Mary Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $138
  • Cash Discount Price: $569
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at St Mary Medical Center is $138. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $569. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.29x the Medicare baseline. Located in Langhorne-Newtown Rd, Langhorne, PA.
Cash / Self-Pay
$569

Average discount available for prompt cash payment at this facility.

Insurance Median
$138

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: $569 (533%)
Insurance Median: $138 (129%)
Cash: $569 (533% of Medicare)
Ins. Median: $138 (129% 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
Medicaid / KanCare $66 - $229 62%
Aetna $83 - $779 78%
UnitedHealthcare $94 - $424 88%
Pace-Trinity Health $96 90%
Blue Cross Blue Shield $113 106%
Cigna $114 - $385 107%
Align Senior Care $115 108%
Medicare (plans) $116 - $203 109%
Health America Advantra $135 126%
Keystone First $138 - $229 129%
Keystone First Chip $138 - $229 129%
Ambetter / Centene $201 188%
Oscar $203 190%
Prime Healthcare $203 190%
Jefferson Health Plan Commercial $205 192%
Homestead Health Plans Woods Center $220 206%
Group Pension Administrators $254 238%
Reedman Toll $254 238%
Blue Shield - Pa (Highmark) $305 286%
Geha $357 334%
Upmc Health Plan $385 360%
Webtpa $385 360%
Meritain $779 729%
Multiplan $788 738%
Prime Health Services $788 738%
Galaxy Health Network $831 778%
Three Rivers Provider Network $831 778%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Langhorne-Newtown Rd, Langhorne, PA 19047
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals