Ultrasound, abdomen (complete)
Facility: Menorah Medical Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $227
- Cash Discount Price: $5,150
- vs. Medicare Baseline: 2.13x 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 213% of the Medicare baseline (a markup of 113%). 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 - $2,317 | 56% |
| Healthyblue | $61 | 57% |
| Unicare | $62 | 58% |
| Aetna | $62 - $2,626 | 58% |
| Medicaid / KanCare | $62 | 58% |
| Home State Health Plan | $95 | 89% |
| Multiplan | $108 - $3,811 | 101% |
| Cigna | $122 - $4,120 | 114% |
| Corvel Corporation | $129 - $3,347 | 121% |
| Oha Network | $134 - $2,575 | 125% |
| Blue Cross Blue Shield | $181 - $2,317 | 169% |
| Humana | $183 - $236 | 171% |
| Ambetter / Centene | $958 | 897% |
| Nhc Advantage | $978 | 916% |
| Wppa Providrs Care Network | $1,030 | 964% |
| Universal Healthcare | $1,802 | 1687% |
| Coventry | $2,070 | 1938% |
| Coventry Kc Mo | $2,111 | 1976% |
| College Park Family Care Center | $2,214 | 2073% |
| Cco, Inc. | $3,862 | 3616% |
| Focus Healthcare Mgmt, Inc | $3,862 | 3616% |
| Triwest Health Alliance | $3,862 | 3616% |
Consumer Guidance & Cost Commentary
For the ultrasound procedure code 76700, Menorah Medical Center in Overland Park, KS, lists a cash price of $5,150.00, which matches the facility's cash median. This cash rate is significantly higher than the state average, reflecting a markup of 2.1 times the Medicare benchmark amount of $106.81. While many commercial payers have negotiated rates ranging from $60 to over $4,000 depending on the plan, these negotiated amounts often exceed the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the insurance negotiated rates for some plans are substantially higher than the out-of-pocket cash cost.
To minimize costs, patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is critical to avoid automatic claims submission, which can void cash agreements and trigger balance billing if the patient's insurance pays less than the facility's full charge. If a patient receives a bill that includes unexpected charges from out-of-network services, they should not pay immediately but instead request a formal itemized billing audit to identify errors or unbundled codes. Always verify the specific allowed amount for your plan and confirm that the facility has waived insurance submission to ensure you receive the lowest possible rate for this service.