Ultrasound, abdomen at Frisbie Memorial Hospital. CPT 76700.
What Frisbie Memorial Hospital publishes for this service, straight from its standard-charges file, last updated March 1, 2026.
Outpatient / ER
$2,270cash price (self-pay)
$2,270list price
$187–$3,731range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | MCD | $187 |
| Well Sense Health Plan | MCD | $277 |
| Anthem | BlueChoice | $419 |
| Anthem | HPN | $440 |
| Anthem | FEP | $485 |
| Anthem | PPO | $485 |
| Anthem | HMO | $489 |
| Anthem | IndividualOffExhange | $489 |
| Anthem | POS | $489 |
| Harvard Pilgrim | INDIVIDUAL | $602 |
| Maine Community Health | Individual | $648 |
| Maine Community Health | SmallGroup | $648 |
| Harvard Pilgrim | ELEVATE | $730 |
| Tufts Health Plan | HMO | $779 |
| Tufts Health Plan | PPO | $779 |
| United | FreedomBenefitPlans | $779 |
| Harvard Pilgrim | HMO | $920 |
| Harvard Pilgrim | POS | $920 |
| Harvard Pilgrim | PPO | $920 |
| United | AllPayerAppendix | $951 |
| Maine Community Health | LargeGroup | $1,097 |
| Tufts Health Plan | POS | $1,298 |
| Aetna | EPO | $1,312 |
| Aetna | HMO | $1,312 |
| Aetna | POS | $1,312 |
| Aetna | PPO | $1,312 |
| United | OptionsPPO | $1,369 |
| EverNorth | COMM | $1,816 |
| Cigna | HMO | $3,731 |
| Cigna | PPO | $3,731 |
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