Ultrasound, abdomen (complete)
Facility: Wesley Medical Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $927
- Cash Discount Price: $5,356
- vs. Medicare Baseline: 8.68x 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 868% of the Medicare baseline (a markup of 768%). 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 |
|---|---|---|
| UnitedHealthcare | $60 | 56% |
| Aetna | $62 - $1,912 | 58% |
| Amerigroup | $62 | 58% |
| Medicaid / KanCare | $62 | 58% |
| Blue Cross Blue Shield | $112 | 105% |
| First Health | $129 - $2,469 | 121% |
| Multiplan | $134 - $4,820 | 125% |
| United | $245 - $2,410 | 229% |
| Health Partners Of Kansas | $927 - $2,678 | 868% |
| Wppa | $932 | 873% |
| Ambetter / Centene | $964 | 903% |
| Medical Associates Health Plan | $1,012 | 947% |
| Preferred Health Choices | $1,012 | 947% |
| Spirit Aerosystems | $1,714 | 1605% |
| Triwest Healthcare Alliance | $3,481 | 3259% |
| Usa Managed Care | $4,553 | 4263% |
Consumer Guidance & Cost Commentary
For the ultrasound procedure code 76700 at Wesley Medical Center in Wichita, KS, the cash price is $5,356.00, which matches the facility's cash median. This rate is significantly higher than the state average, reflecting the facility's proprietary ownership and location in a high-cost region. While commercial payers negotiate rates ranging from $60 to $4,820 depending on the plan, these negotiated amounts often exceed the cash price for many policies. Patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, as it can be lower than the amount their insurance would allow to pay. It is important to verify your specific plan's deductible status and allowed amount before scheduling, as paying out-of-pocket might result in immediate savings compared to the administrative costs and potential out-of-pocket maximums associated with insurance claims.
To ensure you are not overcharged, always request a full itemized bill before finalizing payment, as summary bills often obscure individual line items and potential errors. If you receive a bill for the difference between the provider's full charge and your insurance payment, known as balance billing, you may be protected under the No Surprises Act if the care was provided at an in-network facility. Additionally, ask the hospital about prompt-pay discounts, which can reduce the cash price by 20% to 50% if paid in full upfront, bypassing the lengthy insurance claims process. Given that over 80% of hospital bills contain errors, obtaining a detailed CPT-coded statement is the most effective way to identify unbundled charges or services not rendered, ensuring you only pay for what was actually provided.