CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Caribbean Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $42
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.39x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Caribbean Medical Center is $42. 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 0.39x 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
$42

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: $42 (39%)
Ins. Median: $42 (39% 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
Imc Privado $18 - $42 17%
Menonita Ases $22 - $73 21%
Humana $27 - $59 25%
Medicare (plans) $27 - $64 25%
Mmm $27 - $42 25%
Tricare $27 - $64 25%
Veteran Administration $27 - $42 25%
Champva $28 - $64 26%
First Medical Ases $28 - $71 26%
Mmm Multi Health Ases $28 - $61 26%
Triples S Reforma $28 - $42 26%
Health First $29 27%
UnitedHealthcare $29 - $42 27%
Well Care $29 - $64 27%
Tsa $30 - $64 28%
Mapfre $34 - $42 32%
Menonita Privado $40 - $80 37%
Acaa $42 39%
Ace $42 39%
American Health $42 39%
Asociacion De Maestros Pr $42 - $80 39%
Atlantic Southern $42 39%
Auxilio Mutuo $42 - $100 39%
Auxilio Mutuo Plus $42 - $100 39%
Cfse $42 - $94 39%
Cigna $42 39%
Comercial Others $42 39%
Cosvi Seg Esco $42 39%
Global Health Plan $42 39%
Hoffa $42 39%
Int Life Insurance $42 39%
Mcs Classicare $42 - $45 39%
Mcs Privado $42 - $45 39%
National Life Seg Esco $42 39%
Panamerican Life Insurance $42 39%
Preferrd Health $42 39%
Triple S Privado $42 - $50 39%
Union Carpinteros $42 39%
Union Independiente Acueductos $42 39%

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