CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Porter Hospital Inc

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $107
  • Cash Discount Price: $464
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Porter Hospital Inc is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $464. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.00x the Medicare baseline. Located in 115 Porter Drive, Middlebury, VT.
Cash / Self-Pay
$464

Average discount available for prompt cash payment at this facility.

Insurance Median
$107

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: $464 (434%)
Insurance Median: $107 (100%)
Cash: $464 (434% of Medicare)
Ins. Median: $107 (100% 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
UnitedHealthcare $18 - $491 17%
Mvp $22 - $462 21%
Fidelis Care $24 - $210 22%
Humana $25 - $101 23%
Aetna $26 - $233 24%
Capital District Physicians' Health Plan $26 - $414 24%
Martins Point $26 - $233 24%
Veterans Affairs Community Care Network $26 - $233 24%
Veterans Choice $26 - $233 24%
Blue Cross Blue Shield $30 - $468 28%
Harvard Pilgrim $31 - $397 29%
Coventry $34 - $436 32%
Cigna $40 - $451 37%
Wellpath $80 - $273 75%
Medical Corporation $138 - $471 129%
Multiplan $138 - $471 129%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Porter Drive, Middlebury, VT 05753
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals