Ultrasound, abdomen at Frederick Ferris Thompson Hospital. CPT 76700.
What Frederick Ferris Thompson Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$288cash price (self-pay)
$577list price
$21.84–$360range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Excellus Blue Cross Blue Shield Medicaid 1706 | Blue Choice Option Med | $48.48 |
| Excellus Blue Cross Blue Shield Medicaid 1706 | Excellus Essential 3-4 | $48.48 |
| Fidelis Medicaid 1708 | Fidelis Medicaid 170801, Fidelis Child Health | $48.48 |
| Highmark Blue Cross Blue Shield Medicaid 1702 | Highmark BCBS Medicaid | $48.48 |
| Highmark Blue Cross Blue Shield Medicaid 5143 | Highmark BCBS Essentia | $48.48 |
| Independent Health Assoc Medicaid 1710 | Independent Health Medicaid 1 | $48.48 |
| United Healthcare Medicaid 1716 | United Healthcare Medicaid 171601, U | $48.48 |
| United Healthcare Medicaid 5158 | United Healthcare Essential 1-2 200- | $48.48 |
| Fidelis 5155 | Fidelis Metal Tiers 515501 | $52.19 |
| Mvp Medicaid 1712 | Mvp Option Medicaid 171201, Mvp Child Health Plus | $58.17 |
| Mvp Medicaid 1712, Mvp 2900 | Mvp Option Medicaid 171201, Mvp Essentia | $59.73 |
| Amerigroup (Blue Cross Blue Shield Wny Alternate) 1720 | Amerigroup (B | $60.60 |
| Fidelis Medicaid 1708, Fidelis 5155 | Fidelis Medicaid 170801, Fidelis | $64.12 |
| Capital District Physicians (Cdphp) Medicaid 1704 | Capital District P | $65.64 |
| Highmark Blue Cross Blue Shield Of Western NY Medicaid 1702, Amerigrou | $67.84 |
| Molina Medicaid 1723, Molina Healthcare 5189 | Molina Medicaid 172301, | $72.20 |
| Aetna Medicare 1300, Aetna 2700 | Aetna Medicare 130001, Aetna Senior | $72.94 |
| Mvp 2900 | Mvp Premier Individual 290002, Mvp Premier Group 290003 | $73.09 |
| Mvp Medicare 1307, Mvp Medicare Dual Access Dsnp 1321 | Mvp Medicare 1 | $73.19 |
| Molina Healthcare 1723 | Molina Medicaid 172301, Molina Child Health | $75.75 |
| Umr 5142,United Healthcare 5158, Pomco Ins Co 5157 | Umr 514201,United | $77.17 |
| Fidelis Medicaid 1708, Fidelis 5155 | Fidelis Essential (No Medicaid) | $87.42 |
| Blue Cross Blue Shield Of Western NY 5143, Out Of Area Blue Cross Blue | $89.14 |
| Excellus Medicaid 1706, Excellus Blue Cross Blue Shield 2201 | Blue Ch | $90.84 |
| United Healthcare Medicare 1309 | United Healthcare Medicare 130901,Se | $92.94 |
| Mvp Medicaid 1712 | Mvp Essential 3-4 171204, Mvp Essential 1-2 200-25 | $99.39 |
| Highmark Blue Cross Blue Shield Of Western NY Medicare 1301 | Highmark | $107 |
| Medicare Blue Choice 1306 | Univera Senior Choice Medicare 130603 | $108 |
| Fidelis Medicaid 1708 | Fidelis Essential 3-4 170804, Fidelis Essentia | $109 |
| Medicare Blue Choice 1306 | Medicare Blue Choice 130601, Blue Medicare | $109 |
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