CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Jefferson Healthcare

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $323
Cash Discount Price: $451
vs. Medicare Baseline: 3.02x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Jefferson Healthcare is $323. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $451. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.02x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$451

Average discount available for prompt cash payment at this facility.

Insurance Median

$323

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: $451 (422%)

Insurance Median: $323 (302%)

Cash: $451 (422% of Medicare)

Ins. Median: $323 (302% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 302% of the Medicare baseline (a markup of 202%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Tricare	$38 - $354	36%
Chpw Mcr Adv	$41 - $382	38%
Aetna	$43 - $910	40%
Medicare (plans)	$44 - $361	41%
Molina Mcr Adv	$44 - $354	41%
Molina Marketplace-All Other Plans	$47 - $442	44%
Chpw Commercial-All Other Plans	$57 - $859	53%
Coord Care Comm/Exchge-All Other Plans	$61 - $910	57%
Chpw Mcaid	$71 - $316	66%
Molina Mcaid	$71 - $323	66%
Amerigroup Mcaid-All Plans	$73 - $332	68%
Regence-All Other Plans	$88 - $758	82%
Premera-All Plans	$100 - $859	94%
Cigna	$106 - $910	99%
Coord Care Mcaid Ip/Op Only	$338	316%
UnitedHealthcare	$566	530%
Coord Care Cascade Ip/Op Only	$910	852%

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 $451.
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 Jefferson Healthcare 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.