Ultrasound, abdomen (complete)
Facility: Kansas Spine & Specialty Hospital, Llc
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $96
- Cash Discount Price: $244
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| Humana | $94 | 88% |
| Aetna | $96 - $120 | 90% |
| UnitedHealthcare | $96 - $116 | 90% |
| United Mine Workers Of America | $96 | 90% |
| Blue Cross Blue Shield | $96 - $123 | 90% |
| Providrs Care Network | $96 | 90% |
| Lantern Specialty Care | $153 | 143% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), Kansas Spine & Specialty Hospital, Llc in Wichita, KS, lists a cash median price of $244.00. This cash rate is significantly lower than the facility's negotiated rates, which range from $94 to $153 depending on the insurance plan. For patients with high-deductible plans, paying the cash price of $244.00 may be more cost-effective than relying on insurance, as the negotiated rates for in-network payers like Aetna and UnitedHealthcare can exceed the cash amount. To secure the lowest possible price, patients should explicitly request a "self-pay" or "prompt-pay" discount before scheduling the procedure, as these upfront payment incentives can reduce the total cost.
When evaluating the facility's pricing, it is important to compare rates against the Medicare benchmark rather than the hospital's gross charges. The Medicare amount for this service is $106.81, which serves as the objective baseline for fair pricing. While the facility's cash rate of $244.00 is higher than the Medicare rate, it is important to note that commercial negotiated rates often average 200% to 300% of Medicare, whereas fair pricing is typically defined as 120% to 150% of Medicare. Patients should avoid accepting summary bills and instead demand a full itemized CPT-coded statement to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain mistakes that can be corrected through a formal written audit dispute.