Ultrasound, abdomen (complete)
Facility: Overland Park Reg Med Ctr
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $1,250
- Cash Discount Price: $5,966
- vs. Medicare Baseline: 11.70x 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 1170% of the Medicare baseline (a markup of 1070%). 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 |
|---|---|---|
| Amerigroup | $60 | 56% |
| United | $60 - $2,813 | 56% |
| Healthyblue | $61 | 57% |
| Medicaid / KanCare | $62 | 58% |
| Aetna | $62 - $3,188 | 58% |
| Unicare | $62 | 58% |
| Home State Health Plan | $95 | 89% |
| Multiplan | $108 - $4,625 | 101% |
| Cigna | $122 - $181 | 114% |
| Corvel Corporation | $129 - $4,063 | 121% |
| Oha Network | $134 - $3,125 | 125% |
| Blue Cross Blue Shield | $181 - $2,688 | 169% |
| Humana | $183 - $236 | 171% |
| Ambetter / Centene | $1,057 - $1,163 | 990% |
| Nhc Advantage | $1,080 - $1,188 | 1011% |
| Wppa Providrs Care Network | $1,136 - $1,250 | 1064% |
| Universal Healthcare | $1,989 - $2,188 | 1862% |
| Coventry | $2,284 - $2,513 | 2138% |
| Coventry Kc Mo | $2,330 - $2,563 | 2181% |
| College Park Family Care Center | $2,443 - $2,688 | 2287% |
| Cco, Inc. | $4,262 - $4,688 | 3990% |
| Focus Healthcare Mgmt, Inc | $4,262 - $4,688 | 3990% |
| Triwest Health Alliance | $4,262 - $4,688 | 3990% |
Consumer Guidance & Cost Commentary
For the ultrasound of the abdomen (complete) at Overland Park Reg Med Ctr, the cash price is $5,966.00, which matches the facility's cash median. This rate is significantly higher than the state average, as indicated by a 11.7% variance compared to Medicare benchmarks. While commercial insurance plans like Multiplan and Cco, Inc. negotiate rates up to $4,688, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket and then seeking prompt-pay discounts. It is important to verify your specific plan's negotiated rate before scheduling, as some in-network contracts can result in higher out-of-pocket costs than self-pay options.
To ensure you are not overcharged, always request an itemized bill before finalizing payment, as summary invoices can hide unbundled codes or services not rendered. If you receive a balance bill for out-of-network services, you may be protected under the No Surprises Act, which bans balance billing for emergency care and non-emergency services at in-network facilities. Additionally, ask the billing department about prompt-pay discounts, which can reduce the total cost by 20% to 50% if paid in full upfront, bypassing the administrative overhead of insurance claims processing. Always dispute any unexpected charges in writing to protect your rights and avoid credit damage.