Ultrasound, abdomen (complete)
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $633
- Cash Discount Price: $463
- vs. Medicare Baseline: 5.93x 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 593% of the Medicare baseline (a markup of 493%). 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 |
|---|---|---|
| Black Lung [6055] | $633 | 593% |
| Blue Cross Blue Shield | $633 | 593% |
| Oncology Patient Assistance Programs [2295] | $633 | 593% |
| Healthcare Highways [2210] | $633 | 593% |
| Web Tpa [2115] | $633 | 593% |
| Hooray Health [8000] | $633 | 593% |
| Lucent Health [6000] | $633 | 593% |
| Aetna | $633 | 593% |
| Department Of Corrections [1340] | $772 | 723% |
| Healthpartners [1500] | $892 | 835% |
| American Postal Workers Union [1070] | $892 | 835% |
| National Association Of Letter Carriers [1695] | $892 | 835% |
| Cigna | $892 | 835% |
| Humana | $910 | 852% |
| First Health [1375] | $1,199 | 1123% |
| Multiplan [1680] | $1,199 | 1123% |
| American Healthcare [1055] | $1,199 | 1123% |
| Administrative Concepts [1005] | $1,199 | 1123% |
| Coventry Healthcare [1320] | $1,265 | 1184% |
| Ks Disability Determination [6090] | $1,543 | 1445% |
Consumer Guidance & Cost Commentary
For the ultrasound procedure code 76700, the University of Kansas Health System - St Francis Campus lists a gross charge of $1,543.00, which is significantly higher than the facility's cash median of $463.00. While the facility's negotiated rates for in-network payers average $633.00, this amount still exceeds the cash price, illustrating that paying out-of-pocket can sometimes be more cost-effective for patients with high-deductible plans who have not yet met their coverage thresholds. It is important to note that the facility's cash rate is also lower than the state average for this service, making the cash option a strong baseline for comparison.
Patients should be aware that insurance companies often negotiate rates that include administrative overhead, which can result in allowed amounts higher than the actual cost of care. In this case, the median negotiated rate of $633.00 is roughly 136% of the Medicare benchmark of $106.81, whereas the cash price is only about 40% of that benchmark. To minimize costs, consumers should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these programs can offer substantial fee reductions for upfront payment. Additionally, if a patient receives a bill exceeding the negotiated rate, they should request an itemized billing audit to identify any errors, double-billing, or unbundled codes, as over 80% of hospital bills contain discrepancies that can be corrected.