CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Geisinger Wyoming Valley Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $391
Cash Discount Price: $1,169
vs. Medicare Baseline: 3.66x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Geisinger Wyoming Valley Medical Center is $391. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,169. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.66x the Medicare baseline. Located in 1000 East Mountain Boulevard, Wilkes Barre, PA.

Cash / Self-Pay

$1,169

Average discount available for prompt cash payment at this facility.

Insurance Median

$391

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: $1,169 (1094%)

Insurance Median: $391 (366%)

Cash: $1,169 (1094% of Medicare)

Ins. Median: $391 (366% 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 366% of the Medicare baseline (a markup of 266%). 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
Medicaid / KanCare	$95	89%
Geisinger Family Plan	$98	92%
Geisinger Health Plan	$105 - $322	98%
Humana	$105	98%
Life Geisinger	$105	98%
Medicare (plans)	$105 - $119	98%
Prison Health Services	$105	98%
Blue Cross Blue Shield	$106 - $438	99%
Amerihealth	$110	103%
Upmc For You	$112	105%
Health Partners	$114	107%
Upmc Chip	$119	111%
Ambetter / Centene	$347	325%
Cigna	$817 - $854	765%
Aetna	$878 - $1,260	822%
Christian Healthcare Ministries	$943	883%
UnitedHealthcare	$964	903%
Wyoming Seminary	$1,320	1236%
Intergroup Services	$1,603	1501%
Multiplan	$1,603	1501%

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 $1,169.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Geisinger Wyoming Valley Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.