Ultrasound, abdomen (complete)
Facility: Pratt Regional Medical Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $105
- Cash Discount Price: $460
- vs. Medicare Baseline: 0.98x 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 |
|---|---|---|
| Christian Health Aid | $77 - $909 | 72% |
| UnitedHealthcare | $86 - $1,236 | 81% |
| Health Partners Of Kansas | $88 - $1,030 | 82% |
| Aetna | $93 - $1,091 | 87% |
| Celtic Insurance Company | $102 | 95% |
| Choicecare | $103 - $1,212 | 96% |
| Healthy Blue | $105 | 98% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), Pratt Regional Medical Center in Pratt, KS, lists a cash median price of $460.00, which is significantly lower than the facility's gross charge of $658.00. While the facility offers a negotiated rate of $105.00 to commercial payers, this amount is still higher than the cash price, meaning patients with high-deductible plans or those without insurance may save money by paying the cash rate directly. It is important to note that commercial payers like UnitedHealthcare and Aetna have negotiated rates ranging from $86 to $1,212, which can vary widely depending on the specific plan and deductible status. Patients should verify their specific plan's deductible and out-of-pocket maximum before scheduling, as paying the full negotiated rate without meeting a deductible can result in substantial costs. Additionally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before check-in, as these upfront payment incentives can further reduce the final bill.
The facility's pricing is benchmarked against the Medicare rate of $106.81, which serves as a scientifically validated baseline for the true cost of care. The cash price of $460.00 represents a markup of approximately 430% over the Medicare amount, while the negotiated rate of $105.00 is roughly 98% of the Medicare rate, suggesting a potential discrepancy or specific contract structure for commercial payers. When comparing to the broader market, the low end of the payer range starts at $77, indicating that some plans may pay less