CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Mercy Hospital of Buffalo

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $82
  • Cash Discount Price: $143
  • vs. Medicare Baseline: 0.77x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Mercy Hospital of Buffalo is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $143. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.77x the Medicare baseline. Located in 565 Abbott Road, Buffalo, NY.
Cash / Self-Pay
$143

Average discount available for prompt cash payment at this facility.

Insurance Median
$82

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: $143 (134%)
Insurance Median: $82 (77%)
Cash: $143 (134% of Medicare)
Ins. Median: $82 (77% 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 $26 - $115 24%
Medicaid / KanCare $30 - $119 28%
Blue Cross Blue Shield $30 - $172 28%
VA Veterans Affairs [700001] $31 - $111 29%
Univera Healthcare [100169] $32 - $137 30%
Univera Healthcare Essential [100170] $32 - $97 30%
Fidelis Essential [100163] $33 - $136 31%
Beacon Essential [350122] $33 - $133 31%
Vna Option Mltc [350110] $34 - $107 32%
Excellus Rochester McD [350117] $34 - $107 32%
Crime Victims [100176] $34 - $107 32%
Tuscarora Nation [550120] $34 - $107 32%
Amerigroup [350102] $34 - $172 32%
Independent Health Essential [100166] $34 - $143 32%
Ghi [100153] $35 - $106 33%
Medicare (plans) $36 - $173 34%
Hospice [550001] $37 - $111 35%
Magnacare [100142] $37 - $111 35%
Fallon Health [450115] $37 - $111 35%
Catholic Health Life Pace [400005] $37 - $111 35%
Tricare $37 - $111 35%
Champ VA [700002] $37 - $111 35%
Humana $37 - $117 35%
Cigna $37 - $161 35%
Seneca Nation [450119] $37 - $111 35%
Meritain [100063] $37 - $111 35%
Covid19 Hrsa [45013] $37 - $111 35%
Aetna $37 - $117 35%
Fidelis Dual Advantage [450120] $38 - $117 36%
Wellcare Fidelis Dual [450451] $38 - $117 36%
Iha First Choice [800001] $40 - $288 37%
Independent Health [100165] $40 - $286 37%
Wellcare [450129] $40 - $122 37%
UPMC Health Plan [100181] $44 - $200 41%
Beacon Health Options [100023] $44 - $133 41%
Fidelis Exchange [100164] $44 - $133 41%
Mvp Healthcare [100168] $51 - $149 48%
Molina Essential [100167] $76 - $241 71%
Federal Workers Compensation [500100] $107 - $239 100%
No Fault [114001] $107 - $239 100%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 565 Abbott Road, Buffalo, NY 14220
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals