Average Medicaid Ultrasound Payments in Setauket, NY: $113.37
Avg. Paid
$113.37
Range
$113.04 – $139.55
Total Claims
3,247
Providers
5
Typical Payment Range
Typical Medicaid Ultrasound payments fall between $21.66 and $71.50 per claim (median: $37.78). The top 10% of payments exceed $100.23.
Based on per-provider averages across all Medicaid claims in this category.
Ultrasound imaging uses high-frequency sound waves to create images of structures within the body. Common uses include pregnancy monitoring, abdominal imaging, and cardiovascular assessment.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Ultrasound in Setauket, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Diana Janet Garretto
6 Technology Drive |
$113.04 | 3,100 | 2,735 |
|
Amy Lauren Demarco
200 Main St Ste 2 |
$113.58 | 70 | 54 |
|
Melanie Ann Van Sise
200 Main St |
$117.76 | 45 | 31 |
|
Julie Welischar
200 Main Street |
$139.07 | 20 | 15 |
|
Jeffrey Porte
200 Main Street |
$139.55 | 12 | 12 |
What to Expect: Ultrasound
An ultrasound usually takes 30-60 minutes. A technician applies gel to your skin and moves a handheld device (transducer) over the area being examined. It's painless and uses no radiation. For some abdominal ultrasounds, you may need to fast beforehand. Results are typically available within 1-2 days.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 76816 | US preg follow-up | $64.31 | 12,130,166 | 10,635 |
| 76705 | US abdomen limited | $40.77 | 9,548,254 | 16,963 |
| 76830 | US transvaginal | $61.90 | 8,470,313 | 15,779 |
| 76856 | US pelvic complete | $63.28 | 7,264,182 | 12,691 |
| 76819 | US fetal biophys w/o NST | $58.81 | 6,784,295 | 5,910 |
| 76815 | US preg limited | $42.27 | 6,171,129 | 11,861 |
| 76817 | US preg transvaginal | $51.81 | 5,811,007 | 10,709 |
| 76700 | US abdomen complete | $69.89 | 4,948,542 | 9,023 |
| 76805 | US preg uterus complete | $76.71 | 4,669,129 | 10,066 |
| 76801 | US preg uterus 1st trimester | $61.53 | 4,225,903 | 8,783 |
| 76811 | US preg detailed 1st fetus | $122.76 | 4,139,815 | 4,082 |
| 76770 | US retroperitoneal complete | $64.17 | 3,916,323 | 8,673 |
| 76642 | US breast limited | $46.25 | 3,322,209 | 6,434 |
| 76641 | US breast complete | $71.36 | 2,541,861 | 2,744 |
| 76536 | US soft tissue head/neck | $59.85 | 2,463,310 | 6,231 |
| 76818 | US fetal biophysical profile | $82.56 | 1,637,498 | 1,899 |
| 93880 | US carotid duplex bilateral | $77.83 | 1,229,268 | 3,511 |
| 76813 | US preg nuchal 1st fetus | $77.48 | 1,002,539 | 2,070 |
| 76775 | US retroperitoneal limited | $44.79 | 630,072 | 1,927 |
| 76870 | US scrotum | $50.59 | 555,681 | 1,490 |
| 76857 | US pelvic limited | $34.06 | 545,344 | 1,502 |
| 76882 | US extremity limited | $35.08 | 478,792 | 1,361 |
| 76881 | US extremity complete | $51.37 | 396,125 | 660 |
| 76604 | US chest | $36.04 | 97,816 | 368 |
| 93882 | US carotid duplex unilateral | $61.51 | 9,338 | 41 |
| 76831 | US saline infusion sonohyst | $125.46 | 4,587 | 36 |
| 76810 | US preg uterus complete addl | $63.34 | 3,070 | 21 |
| 76802 | US preg uterus 1st tri addl | $11.09 | 1,766 | 15 |
| 76812 | US preg detailed addl fetus | $104.35 | 692 | 12 |
| 76814 | US preg nuchal addl fetus | $18.34 | 613 | 7 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Ultrasound cost in Setauket, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Ultrasound in Setauket, NY is $113.37 per claim, based on 3,247 claims from 5 providers. Typical payments fall between $21.66 and $71.50. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Ultrasound in Setauket, NY?
There are 5 Medicaid providers offering Ultrasound related services in Setauket, NY according to public payment data.
What is the price range for Ultrasound in Setauket, NY?
Medicaid reimbursement for Ultrasound in Setauket, NY ranges from $113.04 to $139.55 per claim, with an average of $113.37. Private insurance and self-pay costs are typically higher than these Medicaid rates.
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