Ultrasound, abdomen (complete)
Facility: Stormont Vail Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $96
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| Ambetter / Centene | $61 - $93 | 57% |
| UnitedHealthcare | $61 - $93 | 57% |
| Blue Cross Blue Shield | $62 - $708 | 58% |
| Humana | $96 - $98 | 90% |
| Aetna | $96 - $98 | 90% |
Consumer Guidance & Cost Commentary
For patients paying out-of-pocket, the most important thing to know is that the cash rate for this Ultrasound, abdomen (complete) procedure is not listed in our data, so you cannot currently confirm if a self-pay discount is available. However, it is worth noting that cash-pay can sometimes be cheaper for patients with high-deductible plans if the insurance negotiated rate exceeds the cash price, and you should always ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling. While we do not have a specific cash price to compare, the median negotiated rate is $96, which is significantly lower than the median paid amount of $51,496, highlighting the substantial impact of insurance contracts on final costs.
The broader pricing context shows that the gross chargemaster rate is $1,222, with a Medicare benchmark of $106.81, indicating that commercial rates are often marked up relative to federal standards. Although we do not have specific county or state average data included in this report for Topeka, KS, the disparity between the gross rate and the median negotiated rate of $96 suggests that in-network contracts provide significant protection against balance billing. If you choose to use insurance, be aware that the allowed amounts range from $61 to $98 depending on your specific plan with carriers like Ambetter / Centene, Blue Cross Blue Shield, or Humana, and you should verify your deductible status before using insurance for shoppable tests to avoid unexpected out-of-pocket expenses.