Ultrasound, abdomen (complete)
Facility: Mcpherson Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $96
- Cash Discount Price: $535
- 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 |
|---|---|---|
| UnitedHealthcare | $30 - $1,213 | 28% |
| Tricare | $32 - $85 | 30% |
| Humana | $36 - $96 | 34% |
| Va Ccn - All Plans | $36 - $96 | 34% |
| Wellcare Mcr Adv - All Plans | $36 - $96 | 34% |
| Aetna | $36 - $1,213 | 34% |
| Ambetter / Centene | $36 - $111 | 34% |
| Blue Cross Blue Shield | $36 - $96 | 34% |
| Healthy Blue Mcr Adv | $36 - $96 | 34% |
| Multiplan - All Plans | $44 - $1,092 | 41% |
| Medicaid / KanCare | $93 - $1,213 | 87% |
| Health Blue Mcaid - All Other Plans | $95 - $1,237 | 89% |
| Central Plains - All Plans | $175 - $910 | 164% |
| Medical Associates - All Plans | $175 - $910 | 164% |
| Cigna | $221 - $1,152 | 207% |
| Health Partners - All Plans | $221 - $1,152 | 207% |
| Wppa - All Plans | $849 | 795% |
| Christian Health Aid - All Plans | $970 | 908% |
| First Health - All Plans | $1,152 | 1079% |
Consumer Guidance & Cost Commentary
For the CPT code 76700 (Ultrasound, abdomen), McPherson Hospital in Kansas has a gross charge of $723.00, which is significantly higher than the state average cash median of $535.00. While the facility's negotiated rates with insurance payers range from $30 to $1,237, the cash-pay median is $535.00, making it a potentially more affordable option for patients with high-deductible plans or those without insurance. It is important to note that commercial negotiated rates often exceed cash prices due to administrative costs and contract structures; therefore, patients should verify their specific plan's allowed amount before scheduling. Additionally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing the standard insurance billing cycle.
The facility's pricing is also contextualized by the Medicare benchmark, where the Medicare amount for this procedure is $106.81. Commercial negotiated rates average between 200% and 300% of this Medicare rate, while fair pricing is typically defined as 120% to 150% of Medicare, suggesting that some commercial rates may be above the fair market value. If a patient receives care from an out-of-network provider at this facility, they may face balance billing for the difference between the provider's chargemaster and the insurance allowed amount, though the No Surprises Act protects against surprise billing for emergency services and non-emergency services from out-of-network providers at in-network facilities. To avoid unexpected costs, patients should request a full itemized bill to identify any errors, unb