Ultrasound, abdomen (complete)
Facility: Via Christi Hospital Wichita St Teresa, Inc
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $99
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.93x 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 |
|---|---|---|
| Medicare (plans) | $98 - $100 | 92% |
| Saint Lukes Health Systems | $98 | 92% |
| Via Christi Research | $98 | 92% |
| Humana | $98 | 92% |
| Va | $98 | 92% |
| Vc Hope | $98 | 92% |
| Blue Cross Blue Shield | $100 | 94% |
| UnitedHealthcare | $100 - $275 | 94% |
| Corizon | $123 | 115% |
| Smarthealth | $138 | 129% |
| Medicaid / KanCare | $167 | 156% |
| Coventry City Of Wichita | $257 | 241% |
| Aetna | $267 | 250% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, representing a complete abdominal ultrasound, the facility's negotiated rates range from $98 to $275, with a median negotiated amount of $99.00. This figure is significantly lower than the facility's Medicare benchmark of $106.81, indicating that the commercial contract rate is already below the federal cost baseline. While commercial rates often average 200% to 300% of Medicare, this specific code demonstrates a pricing structure that aligns closer to fair pricing standards, which are typically defined as 120% to 150% of the Medicare amount. The facility is located in Wichita, Kansas, and while specific county averages were not provided in the data, the facility's low-end negotiated rate of $98 is notably competitive compared to the highest negotiated rate of $267 found among other payers in the region.
Patients should be aware that cash-pay options may offer further savings, particularly if their insurance plan has a high deductible or if the negotiated rate exceeds the cash price. Although cash and median paid values are not listed in the current data, the facility is a voluntary non-profit church-owned hospital that may offer prompt-pay discounts for upfront payments. To maximize cost savings, patients are encouraged to explicitly request self-pay or prompt-pay rates before scheduling the procedure and to sign a waiver of insurance submission to avoid automatic claims processing. Additionally, since the No Surprises Act prohibits balance billing for out-of-network services at in-network facilities, patients can rest assured that they will not be billed for the difference between the chargemaster and the allowed amount for this service.