Ultrasound, abdomen (complete)
Facility: Mercy Hospital Pittsburg, Inc
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $105
- Cash Discount Price: $753
- vs. Medicare Baseline: 0.98x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $60 - $182 | 56% |
| Medicaid / KanCare | $60 - $104 | 56% |
| Humana | $65 - $102 | 61% |
| Aetna | $65 - $985 | 61% |
| UnitedHealthcare | $91 - $781 | 85% |
| Mercy Hospice Okc [20252] | $102 | 95% |
| Medicare (plans) | $102 - $106 | 95% |
| Elara Caring Aspire Hospice [20433] | $102 | 95% |
| Pace Of The Ozarks Contracted [320518] | $102 | 95% |
| Cross Timbers Hospice [20098] | $102 | 95% |
| Tricare | $102 | 95% |
| Kindful Hospice [20434] | $102 | 95% |
| Dept Of Veteran Affairs Contracted [320106] | $102 | 95% |
| American Health Advantage Of Ks Mcr Contracted [320508] | $102 | 95% |
| Kindful Hospice Contracted [320434] | $102 | 95% |
| Halo Hcr Inc Hospice Contracted [320432] | $102 | 95% |
| Halo Hcr Inc Hospice [20432] | $102 | 95% |
| Ambetter / Centene | $104 | 97% |
| Home State Health Plan Contracted [320187] | $104 | 97% |
| Providrs Care Network Contracted [320484] | $197 | 184% |
| Health Choice Contracted [320166] | $239 | 224% |
| Medica Contracted [320239] | $422 | 395% |
| Cigna | $455 - $467 | 426% |
| United Medical Resources Contracted [320454] | $781 | 731% |
| Auxiant Contracted [320462] | $927 | 868% |
| Workers Comp [20426] | $927 | 868% |
| American Healthcare Alliance Contracted [320020] | $927 | 868% |
| Imagine 360 Contracted [320494] | $927 | 868% |
| Aither Health Contracted [320449] | $927 | 868% |
| Yuzu Health Contracted [320521] | $927 | 868% |
| Reflect Health Contracted [320492] | $927 | 868% |
| Healthlink Contracted [320179] | $927 | 868% |
| Ebms Contracted [320493] | $927 | 868% |
| Edison Health Solutions Contracted [320502] | $927 | 868% |
| Mercy Benefit Admin Contracted [320251] | $927 | 868% |
| First Health Contracted [320128] | $985 | 922% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), Mercy Hospital Pittsburg, Inc. lists a gross charge of $1,159.00, though the facility's cash median rate is $753.00. While the facility's negotiated rates for commercial payers like Blue Cross Blue Shield and Medicaid/KanCare range from $60 to $182, these amounts are still significantly higher than the cash price. Patients with high-deductible plans may find paying the cash median of $753.00 more cost-effective than relying on insurance, as the negotiated rates often exceed the cash price due to administrative overhead and contract structures. It is advisable to contact the hospital directly to confirm "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed.
The facility's negotiated rates are benchmarked against Medicare, which sets a fixed reimbursement rate of $106.81 for this procedure. The data indicates that the facility's negotiated rates are 1.0 times the Medicare amount, suggesting they align closely with the federal baseline rather than the typical commercial markup seen elsewhere. For context, the state of Kansas and the county average for this service are not explicitly provided in the dataset, so comparisons to regional averages cannot be made. However, the facility's ownership as a voluntary non-profit church entity and its location in Pittsburg, KS (zip 66762), may influence local pricing dynamics. Consumers should request an itemized billing audit to ensure no unbundled codes or services not rendered are included in the final statement, as over 80% of hospital bills contain errors that can be corrected.