CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Porter Hospital Inc

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $132
Cash Discount Price: $437
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Porter Hospital Inc is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $437. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.24x the Medicare baseline. Located in 115 Porter Drive, Middlebury, VT.

Cash / Self-Pay

$437

Average discount available for prompt cash payment at this facility.

Insurance Median

$132

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: $437 (409%)

Insurance Median: $132 (124%)

Cash: $437 (409% of Medicare)

Ins. Median: $132 (124% 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
UnitedHealthcare	$25 - $667	23%
Mvp	$31 - $628	29%
Fidelis Care	$33 - $285	31%
Humana	$34 - $101	32%
Aetna	$36 - $317	34%
Capital District Physicians' Health Plan	$36 - $562	34%
Martins Point	$36 - $317	34%
Veterans Affairs Community Care Network	$36 - $317	34%
Veterans Choice	$36 - $317	34%
Blue Cross Blue Shield	$42 - $635	39%
Harvard Pilgrim	$42 - $539	39%
Coventry	$47 - $593	44%
Cigna	$54 - $613	51%
Wellpath	$110 - $371	103%
Medical Corporation	$190 - $640	178%
Multiplan	$190 - $640	178%

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 $437.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Porter Hospital Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.