CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: UPMC Muncy

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $609
Cash Discount Price: $691
vs. Medicare Baseline: 5.70x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at UPMC Muncy is $609. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $691. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.70x the Medicare baseline. Located in 215 East Water Street, Muncy, PA.

Cash / Self-Pay

$691

Average discount available for prompt cash payment at this facility.

Insurance Median

$609

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: $691 (647%)

Insurance Median: $609 (570%)

Cash: $691 (647% of Medicare)

Ins. Median: $609 (570% 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 570% of the Medicare baseline (a markup of 470%). 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	$48 - $787	45%
Geisinger	$69 - $771	65%
Upmc Health Plan	$69 - $502	65%
Amerihealth Caritas	$70 - $2,208	66%
Highmark Wholecare (Prev Gateway)	$70 - $173	66%
Pa Health & Wellness	$107 - $2,316	100%
Cigna	$181 - $788	169%
Upmc Work Partners	$219	205%
Three Rivers Provider Network	$235 - $1,036	220%
Blue Cross Blue Shield	$451 - $532	422%
Aetna	$467 - $760	437%
Coventry/First Health	$577 - $775	540%
Wirerope Works	$640	599%
Multiplan	$898 - $1,093	841%
America'S Choice	$921	862%
Intergroup	$921	862%

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 $691.
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 UPMC Muncy 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.