Ultrasound, abdomen (complete)
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $319
- Cash Discount Price: $188
- vs. Medicare Baseline: 2.99x 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 299% of the Medicare baseline (a markup of 199%). 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 |
|---|---|---|
| Workers Comp [503999901] | $98 | 92% |
| Ku Athletics [503200094] | $98 | 92% |
| UnitedHealthcare | $98 | 92% |
| Medicare (plans) | $100 | 94% |
| Blue Cross Blue Shield | $101 | 95% |
| Allwell [503200078] | $101 | 95% |
| Tricare | $103 | 96% |
| Humana | $103 | 96% |
| Triwest [503201703] | $103 | 96% |
| Centurion [5032000966] | $127 | 119% |
| Ambetter / Centene | $142 | 133% |
| Fort Hays State Student Athletes [5032000960] | $205 | 192% |
| Occunet [503999930] | $205 | 192% |
| 6 Degrees Health [503999050] | $244 | 228% |
| Hchsync Centrus Health Direct [503999916] | $283 - $330 | 265% |
| Advanced Medical Pricing Solutions [503301513] | $309 | 289% |
| Alt Wppa [5032000964] | $396 | 371% |
| Wppa [503200056] | $396 | 371% |
| Meritain Health [503200039] | $396 - $565 | 371% |
| Alt Carelon Behavioral Health [503200905] | $471 | 441% |
| Cigna | $565 - $754 | 529% |
| Alt Meritain Health [503999911] | $565 | 529% |
| Aha-Healthcare Preferred [503200050] | $565 | 529% |
| Aetna | $565 | 529% |
| First Health [5032000110] | $565 | 529% |
| National Assn Letter Carriers [503200019] | $565 | 529% |
| Allied National [503999937] | $565 | 529% |
| Php [503200005] | $565 | 529% |
| Correct Care Solutions [50311253] | $659 | 617% |
| Usa Managed Care [503999030] | $848 | 794% |
Consumer Guidance & Cost Commentary
For this ultrasound procedure, the facility's cash price of $188.00 is significantly lower than the median negotiated rate of $319.00 and the median paid amount of $359.00. While many commercial payers have negotiated rates ranging from $98 to $754, the cash price offers a substantial baseline for patients without insurance. It is important to note that for individuals with high-deductible plans, paying the cash price upfront can be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. Patients should proactively ask the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by offering immediate liquidity incentives that bypass costly administrative processing fees.
The facility's pricing is also evaluated against the Medicare benchmark, which serves as a scientifically validated cost baseline. With a Medicare amount of $106.81, the cash price of $188.00 represents a markup of approximately 3.0 times the Medicare rate, which falls within the range of fair pricing typically defined as 120% to 150% of Medicare. Although the facility is an in-network location for many plans, patients should be aware that balance billing can still occur if out-of-network ancillary services are required, though the No Surprises Act provides protections for emergency care. To ensure accuracy and avoid unexpected costs, patients are encouraged to request a full itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors that can be corrected through written disputes.