Ultrasound, abdomen at Jones Memorial Hospital. CPT 76700.
What Jones Memorial Hospital publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$202cash price (self-pay)
$405list price
$28.99–$409range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup (Blue Cross Blue Shield Wny Alternate) 1720 | Amerigroup (B | $48.48 |
| Fidelis Medicaid 1708 | Fidelis Medicaid 170801, Fidelis Child Health | $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 |
| Univera Healthcare 1706 | Univera Medicaid 170607, Univera Essential 3 | $48.48 |
| Fidelis 5155 | Fidelis Metal Tiers 515501 | $55.60 |
| 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 |
| Umr 5142, Pomco Ins Co 5157, United Healthcare 5158 | Umr 514201, Pomc | $64.31 |
| Capital District Physicians (Cdphp) Medicaid 1704 | Capital District P | $65.64 |
| Excellus Medicaid 1706, Excellus Blue Cross Blue Shield 2201 | Univera | $66.40 |
| Molina Healthcare 1723 | Molina Medicaid 172301, Molina Child Health | $66.66 |
| Excellus Medicaid 1706, Excellus Blue Cross Blue Shield 2201 | Blue Ch | $67.84 |
| United Healthcare Medicare 1309 | United Healthcare Medicare 130901, S | $69.55 |
| Fidelis Medicaid 1708, Fidelis 5155 | Fidelis Medicaid 170801, Fidelis | $70.36 |
| Independent Health 5156 | Independent Health (Buffalo NY) 515601, Nova | $71.41 |
| 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 |
| Fidelis Medicaid 1708, Fidelis 5155 | Fidelis Essential (W/ Medicaid) | $73.88 |
| United Healthcare Medicare 1309 | United Healthcare Dual Complete 1309 | $73.98 |
| Medicare Blue Choice 1306 | Univera Senior Choice Medicare 130603 | $79.81 |
| Excellus Blue Cross Blue Shield 2201 | Univera 220104 | $91.20 |
| Lifetime Benefit Solutions 2200, Excellus Blue Cross Blue Shield 2201, | $95.89 |
| Mvp Medicaid 1712 | Mvp Essential 3-4 171204, Mvp Essential 1-2 200-25 | $99.39 |
| Fidelis Medicaid 1708 | Fidelis Essential 3-4 170804, Fidelis Essentia | $109 |
| Excellus Blue Cross Blue Shield 2201 | Excellus Metal Tiers 220102, Un | $109 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.