CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Hospital Metropolitano Dr Pila

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $49
  • Cash Discount Price: $100
  • vs. Medicare Baseline: 0.46x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Hospital Metropolitano Dr Pila is $49. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $100. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.46x the Medicare baseline. Located in 2435 Boulevard Luis A Ferre, Ponce, PR.
Cash / Self-Pay
$100

Average discount available for prompt cash payment at this facility.

Insurance Median
$49

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: $100 (94%)
Insurance Median: $49 (46%)
Cash: $100 (94% of Medicare)
Ins. Median: $49 (46% 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
Auxilio Mutuo $25 23%
First Medical $33 - $48 31%
Triple S $33 - $85 31%
Plan De Salud Menonita $38 - $48 36%
Mso $39 - $61 37%
Privado $41 38%
Cigna $44 41%
Comerciales $45 42%
Life Link $45 42%
Mc $45 42%
Mcs $45 - $83 42%
Wellcare $45 42%
Humana $46 - $68 43%
Acaa $49 46%
Bl $50 47%
Hospicio $51 48%
Va $55 51%
Prossam $58 54%
Ch $83 78%
Salud Correccional $83 78%
Tricare $83 78%
Fondo Del Seguro Estado $85 80%
Aarp $92 86%
Mapfre $100 94%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2435 Boulevard Luis A Ferre, Ponce, PR 00717
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals