Ultrasound, abdomen (complete)
Facility: Kansas Medical Center Llc
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $96
- Cash Discount Price: $330
- 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 |
|---|---|---|
| Medicaid / KanCare | $60 | 56% |
| Tricare | $87 | 81% |
| Indian Health | $87 | 81% |
| Humana | $96 | 90% |
| Medadv_Wellcare | $96 | 90% |
| Blue Cross Blue Shield | $96 - $145 | 90% |
| Ambetter / Centene | $96 | 90% |
| United | $191 | 179% |
| Three_Rivers | $193 | 181% |
| Aetna | $194 | 182% |
| Wppa | $220 | 206% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), Kansas Medical Center Llc in Andover, KS, has a gross charge of $550.00. The facility's cash median rate is $330.00, which is significantly lower than the state average of $321.00 for the median paid amount. While the facility's negotiated rates with insurance payers range from $60.00 to $220.00, these amounts often exceed the cash price. For patients with high-deductible plans, paying the cash rate of $330.00 upfront can be more cost-effective than relying on insurance, as the negotiated rates for many plans are higher than the cash price. Patients should explicitly ask the hospital for self-pay or prompt-pay discounts before scheduling, as these incentives can reduce the final bill by 20% to 50% when paid in full within a brief window.
The facility's Medicare benchmark rate is $106.81, which serves as a baseline for evaluating pricing fairness. The commercial negotiated rates are substantially higher than this Medicare amount, reflecting the administrative costs and contract dynamics inherent in insurance billing. To ensure transparency, patients should request an itemized billing audit to review every line item and verify that no services were unbundled or incorrectly charged. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients must still be vigilant about receiving a detailed, CPT-coded statement rather than a summary bill. By comparing the facility's rates directly to the Medicare benchmark and seeking prompt-pay discounts, consumers can