Ultrasound, abdomen (complete)
Facility: Kansas Heart Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $147
- Cash Discount Price: $151
- vs. Medicare Baseline: 1.38x 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 |
|---|---|---|
| Tricare | $87 | 81% |
| Celtic Mcr Adv | $96 | 90% |
| UnitedHealthcare | $96 - $240 | 90% |
| Wppa - All Plans | $96 | 90% |
| Humana | $96 | 90% |
| Medicaid / KanCare | $96 - $240 | 90% |
| Blue Cross Blue Shield | $123 - $240 | 115% |
| Multiplan - All Plans | $216 | 202% |
| Aetna | $234 - $240 | 219% |
| Soonerselect Mcaid - All Plans | $240 | 225% |
| Celtic Mcaid - All Other Plans | $240 | 225% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), Kansas Heart Hospital in Wichita, KS, has a gross charge of $240.00. The facility's cash median price is $151.00, while the median negotiated rate across payers is $147.00. This facility's cash price is significantly lower than the state average, which is $156.00. For patients with high-deductible plans, paying the cash price of $151.00 upfront may be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash price due to administrative overhead and contract dynamics. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling, as these can further reduce the final amount owed.
When evaluating the cost of this service, it is important to compare rates against the federal Medicare benchmark rather than the hospital's full chargemaster list. The Medicare amount for this procedure is $106.81, and the facility's cash price of $151.00 represents a markup of 1.4 times the Medicare rate. While commercial negotiated rates typically average 200% to 300% of Medicare, the facility's cash and negotiated rates are notably lower than the typical commercial markup range. Patients should request an itemized billing audit to ensure no errors exist, as over 80% of hospital bills contain discrepancies. Additionally, under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, so they should not feel pressured to pay unexpected