CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Jefferson Healthcare

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $154
Cash Discount Price: $72
vs. Medicare Baseline: 1.44x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Jefferson Healthcare is $154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.44x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$72

Average discount available for prompt cash payment at this facility.

Insurance Median

$154

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: $72 (67%)

Insurance Median: $154 (144%)

Cash: $72 (67% of Medicare)

Ins. Median: $154 (144% 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
Tricare	$28 - $255	26%
Chpw Mcr Adv	$30 - $276	28%
Aetna	$32 - $656	30%
Medicare (plans)	$32 - $260	30%
Molina Mcr Adv	$32 - $255	30%
Molina Marketplace-All Other Plans	$35 - $319	33%
Chpw Commercial-All Other Plans	$42 - $620	39%
Coord Care Comm/Exchge-All Other Plans	$44 - $656	41%
Chpw Mcaid	$54 - $228	51%
Molina Mcaid	$54 - $233	51%
Amerigroup Mcaid-All Plans	$55 - $239	51%
Regence-All Other Plans	$65 - $547	61%
Premera-All Plans	$73 - $620	68%
Cigna	$78 - $656	73%
Coord Care Mcaid Ip/Op Only	$244	228%
UnitedHealthcare	$408	382%
Coord Care Cascade Ip/Op Only	$656	614%

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 $72.
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 Jefferson Healthcare 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.