Ultrasound, abdomen at Stephens Memorial Hospital. CPT 76700.
What Stephens Memorial Hospital publishes for this service, straight from its standard-charges file, last updated September 9, 2025.
Outpatient / ER
$1,373cash price (self-pay)
$1,373list price
$37.96–$1,332range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna | MHACO Government | $74.99 |
| Anthem | Medicare Advantage | $112 |
| Aetna | Medicare Advantage | $129 |
| United Healthcare | Medicare Advantage | $129 |
| Humana | Medicare Advantage | $129 |
| Wellcare | Medicare Advantage | $134 |
| Aetna | HMO/PPO | $153 |
| Aetna | MHACO Commercial | $156 |
| Multiplan | Commercial | $170 |
| United Healthcare | Commercial | $179 |
| Community Health Options | Commercial | $196 |
| Harvard Pilgrim Healthcare | Commercial | $224 |
| Harvard Pilgrim Healthcare | Maine's Choice | $224 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $328 |
| Cigna | Commercial | $1,280 |
Inpatient
$1,373cash price (self-pay)
$1,373list price
$1,199–$1,332range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Harvard Pilgrim Healthcare | Maine's Choice | $1,199 |
| Aetna | HMO/PPO | $1,255 |
| Cigna | Commercial | $1,280 |
| Anthem | HMO/POS/PPO Pathway Enhanced | $1,283 |
| Multiplan | Commercial | $1,291 |
| Community Health Options | Commercial | $1,305 |
| United Healthcare | Commercial | $1,318 |
| Harvard Pilgrim Healthcare | Commercial | $1,332 |
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