Ultrasound, abdomen at Health Alliance Mary Avenue Hospital. CPT 76700.
What Health Alliance Mary Avenue Hospital publishes for this service, straight from its standard-charges file, last updated June 24, 2026.
Outpatient / ER
$1,235cash price (self-pay)
$1,235list price
$90.90–$1,235range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Aetna Medicare | Aetna Medicare | $130 |
| Beacon Medicare | Beacon Medicare | $130 |
| Blue Cross Medicare | Blue Cross Medicare | $130 |
| Cdphp Medicare | Cdphp Medicare | $130 |
| Hamaspik (Mcr) | Hamaspik (Mcr) | $130 |
| Medicare Managed 100% Hahv | Medicare Managed 100 Hahv | $130 |
| Mvp Gold (Mcr) | Mvp Gold (Mcr) | $130 |
| Todays Options Medicare | Todays Options Medicare | $130 |
| Medicare | Medicare | $131 |
| Emblem Ghi/Hip Medicare | Emblem Ghi/Hip Medicare | $132 |
| Affinity By Molina Mcr | Affinity By Molina Mcr | $136 |
| Todays Options | Todays Options | $143 |
| Beacon Exchange | Beacon Exchange | $156 |
| Beacon Commercial | Beacon Commercial | $169 |
| UHC Commercial | UHC Commercial | $179 |
| UHC Empire | UHC Empire | $179 |
| UHC Exchange | UHC Exchange | $179 |
| VALUE OPTIONS (Non-HMO) | VALUE OPTIONS (Non-HMO) | $195 |
| Mvp HMO/PPO | Mvp HMO/PPO | $387 |
| Blue Cross Connection/Exchange | Blue Cross Connection/Exchange | $505 |
| Blue Cross Access | Blue Cross Access | $538 |
| Blue Cross Small Group | Blue Cross Small Group | $606 |
| Blue Cross Commercial/Healthy NY | Blue Cross Commercial/Healthy NY | $673 |
| Aetna Hp Network | Aetna Hp Network | $729 |
| Self-Pay | Self-Pay | $738 |
| Emblem Ghi/Hip PPO/Cbp | Emblem Ghi/Hip PPO/Cbp | $766 |
| Aetna | Aetna | $803 |
| Mvp Exchange | Mvp Exchange | $803 |
| Emblem Select Care (Exchange) | Emblem Select Care (Exchange) | $840 |
| Cdphp | Cdphp | $865 |
Inpatient
$1,235cash price (self-pay)
$1,235list price
$865–$1,235range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Magnacare Standard | Magnacare Standard | $865 |
| Multiplan | Multiplan | $1,013 |
| Blue Shield - Health Now | Blue Shield - Health Now | $1,173 |
| Medigap | Medigap | $1,235 |
| NON CONTRACTED (100% POC) | NON CONTRACTED (100 PerCent POC) | $1,235 |
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