Ultrasound, abdomen (complete)
Facility: Kansas City Orthopaedic Institute
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $254
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.38x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 238% of the Medicare baseline (a markup of 138%). 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 |
|---|---|---|
| Aetna | $98 | 92% |
| UnitedHealthcare | $98 | 92% |
| Cigna | $100 | 94% |
| Blue Cross Blue Shield | $254 | 238% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), at the Kansas City Orthopaedic Institute in Leawood, KS, the negotiated rates range from $98 to $254 depending on the insurance carrier. While Aetna, UnitedHealthcare, and Cigna have negotiated rates of $98, $98, and $100 respectively, Blue Cross Blue Shield has a negotiated rate of $254 across five plans. These commercial rates are significantly higher than the Medicare benchmark of $106.81, with the highest negotiated rate representing a 2.4x markup compared to Medicare. It is important to note that for patients with high-deductible plans, paying the cash price directly can sometimes be more cost-effective than relying on insurance, as the insurer's negotiated rate may exceed the cash price.
The facility, an Acute Care Hospital owned by a physician, is located in Leawood with a zip code of 66211. To minimize out-of-pocket costs, patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling any appointments, as these upfront payment incentives can reduce the total bill by 20% to 50%. If you receive a bill from an out-of-network provider or encounter unexpected charges, you may be subject to balance billing, which is the practice of being charged the difference between the provider's full rate and the insurance allowed amount. In such cases, you should request a formal itemized billing audit to identify errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be corrected