Ultrasound, abdomen (complete)
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $98
- Cash Discount Price: $713
- vs. Medicare Baseline: 0.92x 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 | $31 - $275 | 29% |
| Aetna | $33 - $94 | 31% |
| Medicaid / KanCare | $33 - $94 | 31% |
| Providrs Care | $51 - $155 | 48% |
| Humana | $98 - $99 | 92% |
| Va | $98 | 92% |
| Medicare (plans) | $98 - $100 | 92% |
| Tricare | $99 | 93% |
| Smarthealth | $138 | 129% |
| Blue Cross Blue Shield | $164 - $173 | 154% |
| Ambetter / Centene | $167 | 156% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, representing a complete ultrasound of the abdomen, Ascension Via Christi Hospital Manhattan, Inc. lists a gross charge of $1,783.00. While the facility's cash median price is $713.00, commercial insurance plans typically pay significantly higher negotiated rates, ranging from $31 to $275 depending on the carrier. This pricing structure highlights a common billing dynamic where commercial contracts often exceed cash prices; for patients with high-deductible plans, paying the cash price of $713.00 upfront may result in lower out-of-pocket costs compared to the insurance allowed amount. It is important to note that the facility's negotiated rate of $98.00 is substantially lower than the gross charge, reflecting standard contract caps, yet still varies widely by payer, with UnitedHealthcare plans paying as low as $31 and others up to $173.
To optimize your financial outcome, you should verify your specific plan's deductible status before scheduling, as paying the cash price may be more advantageous if your insurance has not yet met its deductible threshold. Additionally, ask the hospital directly about "prompt-pay" discounts, which can reduce the cash balance by 20% to 50% if settled in full within 30 days, effectively bypassing administrative claim processing fees. If you receive a bill after insurance submission, ensure it is itemized to identify any errors or unbundled charges, as over 80% of hospital bills contain discrepancies. Finally, be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, you should still review your statement