CPT76700

Ultrasound Abdomen Cost in Massachusetts

Us exam abdom complete

$221Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Massachusetts Medicare physician rate (2026)

+9.7% vs national

Average of 2 localities. Office range $118.80–$131.75.

Massachusetts (Hospital)
$125.28
Facility physician fee
Private plan est.
$163–$251
~130–200% of Medicare
Cash / self-pay est.
$100–$188
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Surgery centre, total
$171
$114 physician + $57 facility
Physician fee alone
$114
Only 52% of the hospital total

Choosing a surgery centre over a hospital saves about $50 on the Medicare allowed amount for ultrasound abdomen. Ask whether your procedure can be done at an ambulatory surgery centre.

Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Massachusetts

Look up your ZIP to see whether metro Boston or rest-of-state pricing applies, from Boston and Cambridge to Worcester, Springfield, the North and South Shores, and Cape Cod.

What ultrasound abdomen costs at hospitals near you

Everything above is a national average. The hospital you pick in Massachusetts moves the bill more than anything else you control.

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Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.

National vs Massachusetts

National office$114.23
National hospital (physician)$114.23
Massachusetts vs national10% above the national office rate of $114.23

Where Massachusetts ranks for this CPT

Rank (lowest physician fee first)#45 of 51
Lowest stateArkansas ($101.16)
Highest stateAlaska ($132.10)

CPT 76700 by Massachusetts locality

LocalityOffice
metropolitan boston$131.75
rest of massachusetts$118.80

PE GPCI ranges from 1.053 to 1.194 in Massachusetts. That index is why the same CPT is not one price statewide.

Ultrasound Abdomen and how Massachusetts is priced

Massachusetts is priced through two localities: metro Boston and the rest of the state. Boston's locality carries clearly higher geographic adjustments, reflecting some of the highest medical wages and office costs in the nation, while Worcester, Springfield, and the Cape share the lower rest-of-state factors. The split means the fee schedule itself acknowledges what everyone in the state already knows about Boston prices. Even so, rest-of-state Massachusetts still prices above most of the country.

Boston has arguably the densest concentration of academic medical centers anywhere, and its teaching hospitals pull referrals from all of New England and beyond. That prestige comes with a high-cost market structure that state policymakers have scrutinized for years. Western Massachusetts operates more like a regional market centered on Springfield, and Cape and islands residents contend with seasonal capacity strain.

This procedure: A complete abdominal ultrasound uses sound waves, no radiation, to examine the liver, gallbladder, pancreas, kidneys, spleen, and major vessels in one session. It is a first-line test for right-upper-belly pain, suspected gallstones, abnormal liver blood tests, and follow-up of known findings. You fast for several hours beforehand so the gallbladder is full, then lie on a table while a technologist glides a warm gel-covered probe over your abdomen for 20 to 30 minutes.

What Is Ultrasound Abdomen?

A complete abdominal ultrasound uses sound waves, no radiation, to examine the liver, gallbladder, pancreas, kidneys, spleen, and major vessels in one session. It is a first-line test for right-upper-belly pain, suspected gallstones, abnormal liver blood tests, and follow-up of known findings. You fast for several hours beforehand so the gallbladder is full, then lie on a table while a technologist glides a warm gel-covered probe over your abdomen for 20 to 30 minutes.

What Affects the Cost

  • Hospital outpatient ultrasound departments charge notably more than independent imaging centers and many physician offices.
  • The complete study covers all upper abdominal organs; a limited single-organ study is a cheaper code when only one question needs answering.
  • The sonographer's images are read by a radiologist whose professional fee may bill separately.
  • Poor views from bowel gas or body habitus occasionally force a repeat study or escalation to CT, adding cost.
  • Findings like gallstones frequently lead to surgical consultation, making this scan a common gateway to a larger episode.

Questions to Ask Before Booking

  • 1.Do I need the complete study, or would a limited single-organ ultrasound answer my question at a lower price?
  • 2.What are your fasting instructions so the study does not have to be repeated?
  • 3.Is the radiologist reading fee included in the quote?
  • 4.What does this cost at your imaging center versus the hospital location?
  • 5.If views are limited, would you move to CT, and what would that cost?

Ultrasound Abdomen in Massachusetts: questions

The 2026 Medicare physician office rate for CPT 76700 averages $125.28 across 2 Massachusetts localities, from $118.80 in REST OF MASSACHUSETTS to $131.75 in METROPOLITAN BOSTON. The hospital physician rate averages $125.28. Enter a ZIP for the exact locality.

Yes. CMS splits Massachusetts into 2 payment localities. For this CPT the office physician fee spans $12.95 from the lowest to highest locality. Look up your ZIP to see whether metro Boston or rest-of-state pricing applies, from Boston and Cambridge to Worcester, Springfield, the North and South Shores, and Cape Cod.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $25 for the office physician line or $25 for the hospital physician line in Massachusetts. Medigap may cover that 20%. This is not the hospital facility fee.

No. $125.28 is only the physician's share. Adding Medicare's facility payment brings the total to about $221 in a hospital outpatient department, or about $171 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Massachusetts ranks #45 of 51 states on the physician line (10% above the national office rate of $114.23).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.