Ultrasound, abdomen at Samaritan Hospital. CPT 76700.
What Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated March 31, 2026.
Outpatient / ER
$83.00cash price (self-pay)
$83.00list price
$24.28–$1,904range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Mvp Medicaid Advantage | Mvp Medicaid | $49.39 |
| Nascentia Health Options | Vna Homecare Options | $60.60 |
| Albany County Correctional Facility | Albany Correctional Facility | $60.60 |
| Fidelis Care Medicaid Advantage | Fidelis Medicaid Mmc Harp Chp Mltc | $72.82 |
| Dentaquest | Pb Xr 100% Default | $83.00 |
| Molina Medicare Advantage | Pb Xr 100% Default | $83.00 |
| The Health Plan | Pb Xr 100% Default | $83.00 |
| Union Health Service | Pb Xr 100% Default | $83.00 |
| Health Choices | Pb Xr 100% Default | $83.00 |
| Pace Of Southwest Michigan | Pb Xr 100% Default | $83.00 |
| Commonwealth Care Alliance | Pb Xr 100% Default | $83.00 |
| Rx Allwin | Pb Xr 100% Default | $83.00 |
| Harvard Pilgrim Healthcare | Pb Xr 100% Default | $83.00 |
| Everence | Pb Xr 100% Default | $83.00 |
| Fidelis Care Medicaid Advantage | Fidelis Medicaid Epp 1 & 2 Qhp | $109 |
| Fidelis Care Medicaid Advantage | Fidelis Medicaid Ess Plan 3 &4 | $109 |
| Mvp Medicaid Advantage | Mvp Medicaid Essential 1 2 3 4 | $109 |
| Blue Cross - NY (Anthem) Medicare Advantage | Empire BCBS Medicare Adv | $128 |
| Medigold Medicare Advantage | Medigold Medicare Advantage | $130 |
| Capital District Physicians Health Plan Medicare Advantage | Cdphp Med | $131 |
| Eddy Seniorcare Pace | Eddy Senior Care | $131 |
| Mvp Medicare Advantage | Mvp Medicare Advantage | $131 |
| United Healthcare Medicare | United Healthcare Medicare Advantage | $133 |
| Aetna Medicare Advantage | Aetna Medicare Advantage | $138 |
| Hudson Headwaters Pace | Hudson Headwaters Pace | $141 |
| Fidelis Medicare | Fidelis Medicare Advantage | $143 |
| Wellcare Medicare | Wellcare Medicare Advantage | $143 |
| Blue Shield - NY Highmark Northeastern Medicare Advantage | Blue Shiel | $144 |
| Blue Cross - NY (Excellus) Medicare Advantage | Blue Shield Of Ne New | $144 |
| Emblem Health Medicare Advantage | Emblem Medicare Advantage | $146 |
Inpatient
$100cash price (self-pay)
$100list price
$24.28–$131range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Commonwealth Care Alliance | Pb Xr 100% Default | $100 |
| Everence | Pb Xr 100% Default | $100 |
| Dentaquest | Pb Xr 100% Default | $100 |
| Pace Of Southwest Michigan | Pb Xr 100% Default | $100 |
| The Health Plan | Pb Xr 100% Default | $100 |
| Harvard Pilgrim Healthcare | Pb Xr 100% Default | $100 |
| Rx Allwin | Pb Xr 100% Default | $100 |
| Molina Medicare Advantage | Pb Xr 100% Default | $100 |
| Health Choices | Pb Xr 100% Default | $100 |
| Union Health Service | Pb Xr 100% Default | $100 |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | Pb Xr 100% Default | $100 |
| Rx Gilead | Pb Xr 100% Default | $100 |
| Rx Bestchoicerx | Pb Xr 100% Default | $100 |
| Rx Saif Opdp Wc | Pb Xr 100% Default | $100 |
| Rx Vault Admin Svcs | Pb Xr 100% Default | $100 |
| Rx Caremark M3p Program | Pb Xr 100% Default | $100 |
| Rx Medtrak | Pb Xr 100% Default | $100 |
| Huron Valley Pace Medicaid | Pb Xr 100% Default | $100 |
| Rx Ihc | Pb Xr 100% Default | $100 |
| Rx Ldi | Pb Xr 100% Default | $100 |
| Rx Generic | Pb Xr 100% Default | $100 |
| Rx Promark | Pb Xr 100% Default | $100 |
| Rx Patient Support Program | Pb Xr 100% Default | $100 |
| Rx Dispensary Of Hope | Pb Xr 100% Default | $100 |
| Rx First Fill Program | Pb Xr 100% Default | $100 |
| Rx Epicash | Pb Xr 100% Default | $100 |
| Rx 340b Pass Along | Pb Xr 100% Default | $100 |
| Rx Rems | Pb Xr 100% Default | $100 |
| Rx Net Rx | Pb Xr 100% Default | $100 |
| Rx Detroit Formulary | Pb Xr 100% Default | $100 |
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