Ultrasound, abdomen (complete)
Facility: Saint John Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $103
- Cash Discount Price: $98
- vs. Medicare Baseline: 0.96x 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 |
|---|---|---|
| Medicaid / KanCare | $60 | 56% |
| Blue Cross Blue Shield | $72 - $152 | 67% |
| UnitedHealthcare | $91 - $138 | 85% |
| Celtic | $93 - $158 | 87% |
| Healthy Blue | $93 - $103 | 87% |
| Midland Care Connection | $98 | 92% |
| Medicare (plans) | $98 | 92% |
| Tricare | $98 | 92% |
| Cigna | $98 | 92% |
| Aetna | $98 - $148 | 92% |
| Kansas Superior Select | $100 | 94% |
| Comp Alliance Workers Comp | $122 | 114% |
| Oha Networks | $131 | 123% |
| Worker Compensation | $135 | 126% |
| Well Path | $138 | 129% |
| Corizon | $138 | 129% |
| Employer Direct Healthcare | $138 | 129% |
| Centurion | $148 | 139% |
| Naphcare | $153 | 143% |
Consumer Guidance & Cost Commentary
For self-pay patients, the most important fact to know immediately is that the cash median rate for this ultrasound procedure is $98, which is significantly lower than the facility's gross charge of $1,949 and the median negotiated rate of $103. While the cash price appears minimal, patients should verify with the hospital for any additional "self-pay" or "prompt-pay" discounts that could further reduce the amount owed, as these upfront incentives can bypass standard administrative fees. It is also worth noting that for patients with high-deductible plans where the insurance allowed amount exceeds the cash price, paying out-of-pocket at the $98 rate may result in lower total costs compared to using their insurance coverage.
The broader pricing context reveals that Saint John Hospital, a voluntary non-profit acute care facility in Leavenworth, KS, charges a cash rate of $98, which is notably lower than the state average of $194 and the county average of $194 for this specific CPT code. Although the facility has a 3-star rating and serves 19 payers, the commercial negotiated rates vary widely, ranging from $93 with Healthy Blue to $153 with Naphcare, while the median negotiated rate across all plans is $103. This data highlights that the cash price of $98 is the most stable and transparent figure available to patients, serving as a reliable baseline for comparison against the higher commercial rates and the facility's gross charges.