Ultrasound, abdomen (complete)
Facility: Susan B Allen Memorial Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $554
- Cash Discount Price: $410
- vs. Medicare Baseline: 5.19x 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 519% of the Medicare baseline (a markup of 419%). 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 |
|---|---|---|
| UnitedHealthcare | $350 | 328% |
| Providrs Care | $757 | 709% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, "Ultrasound, abdomen (complete)," Susan B Allen Memorial Hospital in El Dorado, KS, lists a cash median price of $410.00, which is notably lower than the facility's gross charge of $631.00. While the hospital's negotiated rates with UnitedHealthcare and Providrs Care are $350.00 and $757.00 respectively, patients should be aware that cash payments can sometimes be more cost-effective than using insurance, particularly if the patient's plan has a high deductible or if the negotiated rate exceeds the cash price. To secure the best possible rate, it is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can offer further reductions for upfront payment.
When evaluating this cost, it is important to compare the facility's pricing against objective benchmarks rather than the inflated gross charges. The Medicare benchmark for this service is $106.81, and the facility's cash rate of $410.00 represents a 5.2x markup relative to this federal baseline. Although commercial negotiated rates often average 200% to 300% of Medicare, the specific contracts here vary significantly by payer. Patients should request an itemized bill to ensure no errors exist, as over 80% of hospital bills contain mistakes, and should verify their deductible status before scheduling to avoid unexpected out-of-pocket costs.