CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Keokuk County Health Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $519
Cash Discount Price: $472
vs. Medicare Baseline: 4.86x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Keokuk County Health Center is $519. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $472. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.86x the Medicare baseline. Located in 23019 Highway 149, Sigourney, IA.

Cash / Self-Pay

$472

Average discount available for prompt cash payment at this facility.

Insurance Median

$519

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%)

Cash / Self-Pay: $472 (442%)

Insurance Median: $519 (486%)

Cash: $472 (442% of Medicare)

Ins. Median: $519 (486% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 486% of the Medicare baseline (a markup of 386%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Wellmark_Insurance	$394 - $519	369%
United_Healthcare_Insurance	$472 - $519	442%
Aetna	$519 - $573	486%
Humana	$519	486%
Wellcare_Insurance	$519	486%
Wellpoint_Insurance	$519 - $539	486%
Iowa_Total_Care_Insurance	$539	505%
Molina_Insurance	$539	505%

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 $472.
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 Keokuk County Health 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.