CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $113
Cash Discount Price: $1,147
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Univ. of Vermont - Fletcher Allen Health Care is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,147. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.06x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$1,147

Average discount available for prompt cash payment at this facility.

Insurance Median

$113

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: $1,147 (1074%)

Insurance Median: $113 (106%)

Cash: $1,147 (1074% of Medicare)

Ins. Median: $113 (106% 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
Blue Cross Blue Shield	$16 - $1,110	15%
UnitedHealthcare	$18 - $1,129	17%
Mvp	$22 - $781	21%
Aetna	$26 - $107	24%
Capital District Physicians' Health Plan	$26 - $859	24%
Humana	$26 - $321	24%
Martins Point	$26 - $110	24%
St. Regis	$26 - $107	24%
Veterans Affairs Community Care Network	$26 - $107	24%
Fidelis Care	$30 - $118	28%
Wellpath	$37 - $631	35%
Ebpa	$97 - $986	91%
Harvard Pilgrim	$101 - $918	95%
Magnacare	$101 - $918	95%
Coventry	$107 - $975	100%
Nppn	$113 - $1,032	106%
Cigna	$118 - $1,032	110%

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 $1,147.
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 Univ. of Vermont - Fletcher Allen Health Care 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.