Ultrasound, abdomen at Plaistow Emergency Room. CPT 76700.
What Plaistow Emergency Room publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$2,471cash price (self-pay)
$2,471list price
$76.35–$2,386range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AmeriHealth Caritas | MCD | $76.35 |
| Well Sense Health Plan | MCD | $185 |
| Harvard Pilgrim | INDIVIDUAL | $361 |
| Harvard Pilgrim | ELEVATE | $398 |
| Anthem | BlueChoice | $419 |
| Harvard Pilgrim | HMO | $452 |
| Harvard Pilgrim | POS | $452 |
| Anthem | FEP | $482 |
| Anthem | PPO | $482 |
| Anthem | HMO | $485 |
| Anthem | POS | $485 |
| United | FreedomBenefitPlans | $519 |
| Maine Community Health | Individual | $773 |
| Maine Community Health | SmallGroup | $773 |
| United | AllPayerAppendix | $1,038 |
| Harvard Pilgrim | PPO | $1,112 |
| Maine Community Health | LargeGroup | $1,309 |
| Tufts Health Plan | POS | $1,413 |
| Tufts Health Plan | HMO | $1,456 |
| Tufts Health Plan | PPO | $1,456 |
| Aetna | HMO | $1,470 |
| United | OptionsPPO | $1,500 |
| Aetna | EPO | $1,650 |
| Aetna | POS | $1,650 |
| Aetna | PPO | $1,650 |
| MVP Health Plan | COMM | $1,730 |
| CorVel | WorkersComp | $1,779 |
| EverNorth | COMM | $1,977 |
| Healthcare Value Mgmt | COMM | $2,075 |
| First Health | PPO | $2,100 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.