Ultrasound, abdomen (complete)
Facility: Saint Luke'S South Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $514
- Cash Discount Price: $1,031
- vs. Medicare Baseline: 4.81x 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 481% of the Medicare baseline (a markup of 381%). 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 |
|---|---|---|
| Medicaid / KanCare | $60 - $136 | 56% |
| Aetna | $81 - $1,632 | 76% |
| Humana | $82 - $134 | 77% |
| UnitedHealthcare | $90 - $514 | 84% |
| Transplants-Case Rates [5750] | $113 - $1,718 | 106% |
| Cigna | $118 - $1,304 | 110% |
| Blue Cross Blue Shield | $135 - $1,290 | 126% |
| Commercial-Contracted [8000] | $246 - $1,390 | 230% |
| First Health [5512] | $1,018 | 953% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, representing a complete abdominal ultrasound, Saint Luke's South Hospital in Overland Park, KS, lists a gross charge of $1,718.00. However, the actual cost to patients varies significantly depending on payment method. The facility's cash median price is $1,031.00, while the median negotiated rate paid by commercial insurers is $514.00. It is important to note that for patients with high-deductible plans, paying cash directly can sometimes be more cost-effective than using insurance, as the negotiated rate often exceeds the cash price. Additionally, patients should inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by offering immediate liquidity incentives to the hospital.
When evaluating the value of this service, it is crucial to compare rates against the Medicare benchmark rather than the inflated hospital chargemaster. The Medicare amount for this procedure is $106.81, which serves as the objective baseline for fair pricing. While the facility's cash rate of $1,031.00 is higher than the Medicare rate, commercial negotiated rates generally average between 200% and 300% of Medicare, with fair pricing typically defined as 120% to 150%. Patients should verify their specific insurance allowed amounts before scheduling, as in-network rates can vary widely between payers, and ensure they understand their deductible status to avoid unexpected out-of-pocket costs.