CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Shriners Hospitals for Children - Philadelphia

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $91
Cash Discount Price: $606
vs. Medicare Baseline: 0.85x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Shriners Hospitals for Children - Philadelphia is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $606. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.85x the Medicare baseline. Located in 3551 N Broad Street, Philadelphia, PA.

Cash / Self-Pay

$606

Average discount available for prompt cash payment at this facility.

Insurance Median

$91

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: $606 (567%)

Insurance Median: $91 (85%)

Cash: $606 (567% of Medicare)

Ins. Median: $91 (85% 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
Aetna	$62 - $125	58%
Ambetter / Centene	$62 - $124	58%
Amerihealth Mercy Health Plans	$62	58%
Gateway Health Plan	$62	58%
Geisinger Health Plan	$62	58%
Health Partners Of Philadelphia	$62	58%
Keystone Mercy Health Plans	$62	58%
Upmc Health Plan	$62	58%
Blue Cross Blue Shield	$66 - $113	62%
Soonercare	$72	67%
Humana	$74	69%
UnitedHealthcare	$112	105%
Amerihealth Caritas Nc	$124	116%
Amerihealth Caritas Sc	$124	116%
Providence Health Plan	$125	117%
Cigna	$139	130%
Sana Benefits	$150	140%

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 $606.
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 Shriners Hospitals for Children - Philadelphia 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.