CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Brattleboro Memorial Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $102
Cash Discount Price: $654
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Brattleboro Memorial Hospital is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $654. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.95x the Medicare baseline. Located in 17 Belmont Ave, Brattleboro, VT.

Cash / Self-Pay

$654

Average discount available for prompt cash payment at this facility.

Insurance Median

$102

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: $654 (612%)

Insurance Median: $102 (95%)

Cash: $654 (612% of Medicare)

Ins. Median: $102 (95% 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
Amerihealth-Caritas	$23 - $82	22%
New Hampshire Healthy Families	$23 - $82	22%
Wellsense	$23 - $109	22%
Blue Cross Blue Shield	$26 - $840	24%
Cigna	$26 - $887	24%
Harvard Pilgrim Health Care	$26 - $812	24%
Martin'S Point	$26 - $102	24%
Mvp Healthcare	$26 - $840	24%
New Hampshire Healthy Families (Wellcare)	$28 - $107	26%
Tufts Health Plan	$70 - $854	66%
UnitedHealthcare	$71 - $887	66%
Vermont Health Plan	$77 - $836	72%
Humana	$102	95%
Multiplan	$112 - $906	105%
Aetna	$219 - $906	205%
Coventry	$219 - $906	205%
Health New England	$906	848%

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 $654.
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 Brattleboro Memorial Hospital 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.