Ultrasound, abdomen at HSS West Side Outpatient Center. CPT 76700.
What HSS West Side Outpatient Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$218cash price (self-pay)
$218list price
$29.01–$848range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC | Medicare Managed Care | $29.01 |
| Fidelis | Medicaid Managed Care | $30.36 |
| Fidelis | Essential Plans 3,4 | $32.04 |
| Fidelis | Essential Plans 1,2 | $32.04 |
| Metro Plus | Medicaid Managed Care | $40.48 |
| Metro Plus | Essential Plans 3,4 | $40.48 |
| Emblem | Medicare Managed Care | $41.45 |
| Metro Plus | Essential Plans 1,2 | $42.16 |
| Emblem | Commercial | $54.71 |
| Emblem | City of NY Plans | $54.71 |
| Anthem NY | Exchange | $56.69 |
| UHC | Commercial | $63.95 |
| Anthem NY | Commercial | $66.69 |
| Horizon | Commercial | $68.51 |
| NYSHIP | Commercial | $71.82 |
| CIGNA | Commercial | $84.45 |
| Aetna | Commercial | $98.71 |
| Blue Cross Blue Shield NY [1022] | BCBS Blue Access [102216] | $338 |
| Blue Cross Blue Shield NY [1022] | BCBS EPO [102204] | $348 |
| Oxford [1096] | Oxford [109600] | $544 |
| Oxford [1096] | Oxford HMO [109605] | $544 |
| Oxford [1096] | Oxford POS [109606] | $544 |
| Emblem Health [1043] | Emblem Hcp [104311] | $554 |
| Emblem Health [1043] | Emblem Platinum HMO Select Care [104312] | $554 |
| Emblem Health [1043] | Emblem Health Ghi [104304] | $554 |
| Nalc [1090] | Nalc [109000] | $581 |
| Umr [1106] | Umr HMO [110601] | $671 |
| United Healthcare [1107] | United Healthcare EPO [110704] | $671 |
| United Healthcare [1107] | United Healthcare POS [110706] | $671 |
| United Healthcare [1107] | United Healthcare Choice [110705] | $671 |
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