Ultrasound, abdomen (complete)
Facility: Salina Regional Health Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $1,515
- Cash Discount Price: $1,178
- vs. Medicare Baseline: 14.18x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1418% of the Medicare baseline (a markup of 1318%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 | $159 - $167 | 149% |
| Preferred Phsic | $1,010 | 946% |
| Preferred Healthcare - All Other Plans | $1,363 | 1276% |
| Aetna | $1,515 | 1418% |
| Providers Care (Wppa)-All Plans | $1,515 | 1418% |
| Multiplan (Mpi)-All Plans | $1,515 | 1418% |
| Cigna | $1,515 | 1418% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), at Salina Regional Health Center in Salina, KS, the facility's cash median price is $1,178.00, which is lower than the negotiated rates paid by most commercial payers. While the facility's negotiated rate of $1,515.00 is significantly higher than the Medicare benchmark of $106.81, indicating a substantial markup, patients with high-deductible plans may find the cash price more affordable if their insurance allows them to pay the full negotiated amount. It is important to note that the facility's cash rate is also lower than the state average for this procedure, suggesting that paying out-of-pocket could result in immediate savings compared to standard insurance billing.
Patients should be aware that commercial insurance contracts often create a ceiling on what payers will reimburse, which can sometimes exceed the cash price due to administrative costs and contract dynamics. Although the facility is a voluntary non-profit acute care hospital, the difference between the cash median and the median negotiated rate of $1,190.00 highlights the potential for significant cost reduction by paying directly. To maximize savings, patients are encouraged to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can further reduce the final bill before any insurance claims are processed.