Ultrasound, abdomen (complete)
Facility: Providence Medical Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $128
- Cash Discount Price: $98
- vs. Medicare Baseline: 1.20x 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 |
|---|---|---|
| Medicaid / KanCare | $60 | 56% |
| UnitedHealthcare | $91 - $215 | 85% |
| Celtic | $93 - $158 | 87% |
| Healthy Blue | $93 - $103 | 87% |
| Cigna | $98 | 92% |
| Tricare | $98 | 92% |
| Aetna | $98 - $148 | 92% |
| Midland Care Connection | $98 | 92% |
| Medicare (plans) | $98 | 92% |
| Kansas Superior Select | $103 | 96% |
| Comp Alliance - Fka Compresults Worker Compensation | $122 | 114% |
| Corizon | $128 | 120% |
| Oha Networks | $131 | 123% |
| Worker Compensation | $135 | 126% |
| Employer Direct Healthcare | $138 | 129% |
| Well Path Prison | $138 | 129% |
| Centurion | $148 | 139% |
| Naphcare | $153 | 143% |
| Blue Cross Blue Shield | $158 - $255 | 148% |
| First Health | $750 | 702% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), the gross charge at Providence Medical Center in Kansas City, KS is $1,949.00. While the facility's cash median rate is $98.00, which is significantly lower than the state average of $194.90, patients should be aware that insurance negotiated rates often exceed this cash price. For example, UnitedHealthcare plans have negotiated rates ranging from $91 to $215, and Blue Cross Blue Shield rates range from $153 to $255. If a patient has a high-deductible plan or has not yet met their deductible, paying the cash price of $98.00 upfront could result in substantial savings compared to the insurance allowed amount, provided the patient secures a prompt-pay discount.
To maximize savings, patients should contact the hospital directly to confirm "self-pay" or "prompt-pay" discounts before scheduling, as these rates are typically lower than the standard cash median. It is important to request a waiver of insurance submission to avoid automatic claims processing, which can void cash agreements and trigger balance billing if the patient is out-of-network. Additionally, patients should request an itemized billing audit to ensure no errors or unbundled codes are present, as over 80% of hospital bills contain discrepancies. By comparing the facility's negotiated rates against the Medicare benchmark of $106.81, patients can better understand the markup and negotiate fair pricing that aligns with the true cost of care rather than the inflated chargemaster list.