CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Caribbean Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $45
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.42x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Caribbean Medical Center is $45. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.42x the Medicare baseline. Located in 151 Ave Osvaldo Molina, Fajardo, PR.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$45

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%)
Insurance Median: $45 (42%)
Ins. Median: $45 (42% 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
Hoffa $30 - $45 28%
Menonita Ases $32 - $97 30%
Veteran Administration $32 - $37 30%
Imc Privado $35 - $45 33%
Humana $37 - $78 35%
Medicare (plans) $37 - $85 35%
Mmm $37 - $72 35%
Tricare $37 - $85 35%
Champva $39 - $85 37%
First Medical Ases $39 - $80 37%
Mmm Multi Health Ases $39 - $80 37%
Triples S Reforma $39 - $46 37%
Health First $40 37%
UnitedHealthcare $40 - $45 37%
Well Care $40 - $85 37%
Tsa $41 - $85 38%
Ace $42 39%
American Health $42 39%
Atlantic Southern $42 39%
Cigna $42 39%
Comercial Others $42 39%
Cosvi Seg Esco $42 39%
Global Health Plan $42 39%
Int Life Insurance $42 39%
National Life Seg Esco $42 39%
Preferrd Health $42 39%
Union Independiente Acueductos $42 39%
Asociacion De Maestros Pr $45 - $90 42%
Auxilio Mutuo $45 - $100 42%
Auxilio Mutuo Plus $45 - $100 42%
Cfse $45 - $126 42%
Mapfre $45 - $50 42%
Mcs Classicare $45 42%
Mcs Privado $45 42%
Menonita Privado $45 - $100 42%
Panamerican Life Insurance $45 42%
Triple S Privado $45 - $50 42%
Union Carpinteros $45 - $46 42%
Acaa $70 - $98 66%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Ave Osvaldo Molina, Fajardo, PR 00738
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals