CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Southeast Iowa Regional Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $153
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.43x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Southeast Iowa Regional Medical Center is $153. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.43x the Medicare baseline. Located in 1221 South Gear Avenue, West Burlington, IA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$153

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Insurance Median: $153 (143%)

Ins. Median: $153 (143% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
American Healthplan Of Iowa - Midlevel	$29 - $89	27%
Medicaid / KanCare	$33 - $106	31%
Aetna	$35 - $106	33%
Humana	$37 - $110	35%
American Healthplan Of Iowa - Md	$39 - $116	37%
Immergrun	$67	63%
Blue Cross Blue Shield	$68 - $417	64%
UnitedHealthcare	$74 - $220	69%
Midlands Choice	$81 - $975	76%
6 Degree	$85 - $866	80%
Plain Church	$116 - $704	109%
Absolute Solutions	$160 - $335	150%
First Agency	$160 - $335	150%
Multiplan	$160 - $335	150%
Henderson County	$169 - $353	158%
Elap	$216 - $308	202%
Wellpoint (Amerigroup)	$606	567%
Immugrun	$682	639%
Brighton Amish Church	$704	659%
Geha	$1,007	943%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Southeast Iowa Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.