Ultrasound, abdomen (complete)
Facility: Labette Health
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $93
- Cash Discount Price: $210
- vs. Medicare Baseline: 0.87x 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 | $26 - $113 | 24% |
| Aetna | $34 | 32% |
| Montgomery County | $34 - $180 | 32% |
| Kansas Superior Select | $36 - $101 | 34% |
| Medicaid / KanCare | $46 - $98 | 43% |
| Healthy Blue | $61 - $93 | 57% |
| Uhccp | $63 - $107 | 59% |
| Multiplan | $88 - $422 | 82% |
| Health Partners Of Kansas, Inc | $93 - $447 | 87% |
| Choicecare (First Health Network) | $93 - $447 | 87% |
| UnitedHealthcare | $98 - $432 | 92% |
| Blue Cross Blue Shield | $98 - $152 | 92% |
| Humana | $98 | 92% |
| Wellcare | $98 | 92% |
Consumer Guidance & Cost Commentary
For CPT code 76700, an ultrasound of the abdomen, Labette Health in Parsons, KS, lists a cash price of $210.00, which is lower than the facility's gross charge of $300.00. While the facility is government-owned, patients should verify if their specific insurance plan negotiates a rate lower than the cash price, as some commercial payers may exceed the cash amount. For instance, UnitedHealthcare and Health Partners of Kansas have negotiated ranges starting at $98 and going up to $447, which are significantly higher than the cash rate. However, if a patient has a high-deductible plan that has not yet met their deductible, paying the cash price of $210.00 upfront could result in immediate savings compared to the insurance allowed amount, provided the patient understands their out-of-pocket maximums.
The facility's negotiated rates vary widely across different payers, with the lowest negotiated rate found at Aetna and Montgomery County at $34.00, and the highest reaching $447.00 with UnitedHealthcare and Health Partners of Kansas. This variation highlights the importance of checking individual plan details before scheduling, as the "in-network" status does not guarantee a uniform price. Additionally, patients should be aware of the No Surprises Act protections, which prevent balance billing for out-of-network services at in-network facilities, and should request an itemized bill to ensure no unbundled codes or services not rendered are included. Finally, asking about prompt-pay discounts before check-in can further reduce costs, as hospitals often offer immediate fee reductions for upfront payments to avoid administrative processing costs.