Ultrasound, abdomen (complete)
Facility: St. Catherine Hospital - Garden City
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $231
- Cash Discount Price: $583
- vs. Medicare Baseline: 2.16x 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 216% of the Medicare baseline (a markup of 116%). 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 | $66 - $242 | 62% |
| UnitedHealthcare | $66 - $731 | 62% |
| Medicare (plans) | $66 - $77 | 62% |
| Kaiser | $66 - $477 | 62% |
| Aetna | $66 - $994 | 62% |
| Cigna | $66 - $261 | 62% |
| Kansas Health | $66 | 62% |
| Humana | $66 - $77 | 62% |
| Devoted Health | $77 | 72% |
| Innovage | $77 | 72% |
| Direct To Employer | $162 - $693 | 152% |
| Centura Employee Plan | $205 | 192% |
| Peak Health | $218 - $675 | 204% |
| United Colorado Doctor'S Plan | $245 | 229% |
| Multiplan | $250 - $1,472 | 234% |
| Denver Health | $409 | 383% |
| Wpaa | $827 | 774% |
| Christian Health Aid | $945 | 885% |
| Health Partners Of Kansas | $1,146 | 1073% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), St. Catherine Hospital - Garden City has a gross charge of $1,456.00, which is significantly higher than the facility's cash median of $583.00 and the median paid by insurers at $180.00. While the facility's negotiated rates range widely among payers—from $66 for Blue Cross Blue Shield to $1,472 for Multiplan—the cash price of $583.00 represents a substantial discount compared to the gross charge. Patients with high-deductible plans or those without insurance may find the cash price more favorable than the negotiated rates, as some commercial payers have allowed amounts exceeding the cash price. It is important to note that Kansas Health and Devoted Health both show a single rate of $66, which is notably lower than the cash median, suggesting potential variations in plan-specific agreements or data entry for specific plan types.
The facility's pricing structure is heavily influenced by its status as a voluntary non-profit church-owned hospital in Garden City, KS, with a Medicare benchmark of $106.81. Commercial negotiated rates often exceed the Medicare rate by a significant margin, reflecting the administrative costs and contract dynamics of private insurance. For instance, the gross charge of $1,456.00 is more than thirteen times the Medicare amount, illustrating the potential for high markups if a patient is billed the full chargemaster. To minimize costs, patients should verify their specific plan's allowed amount before scheduling and inquire directly with the hospital about self-pay or prompt-pay discounts, which can reduce the final bill by