Ultrasound, abdomen (complete)
Facility: Mercy Specialty Hospital Southeast Kansas
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $176
- Cash Discount Price: $935
- vs. Medicare Baseline: 1.65x 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 | $56 - $102 | 52% |
| Blue Cross Blue Shield | $60 - $102 | 56% |
| Aetna | $65 - $102 | 61% |
| Humana | $65 - $104 | 61% |
| Provider Partners Health Plans Contracted [320450] | $70 | 66% |
| First Health Contracted [320128] | $74 | 69% |
| UnitedHealthcare | $91 - $1,330 | 85% |
| Pace Of The Ozarks Contracted [320518] | $102 | 95% |
| Mercy Hospice Okc [20252] | $102 | 95% |
| Globalhealth Contracted [320145] | $102 | 95% |
| Medicare (plans) | $102 | 95% |
| Mercy Mgd Behavioral Health Contracted [320259] | $102 | 95% |
| Cigna | $102 - $467 | 95% |
| Kindful Hospice Contracted [320434] | $102 | 95% |
| Medical Associates Health Contracted [320444] | $102 | 95% |
| Halo Hcr Inc Hospice [20432] | $102 | 95% |
| Qual Choice Contracted [320325] | $102 | 95% |
| Elara Caring Aspire Hospice [20433] | $102 | 95% |
| Tricare | $102 | 95% |
| Cherokee Nation Health Serv Contracted [320066] | $102 | 95% |
| Cross Timbers Hospice [20098] | $102 | 95% |
| Halo Hcr Inc Hospice Contracted [320432] | $102 | 95% |
| Kindful Hospice [20434] | $102 | 95% |
| Dept Of Veteran Affairs Contracted [320106] | $104 | 97% |
| Centivo Contracted [320505] | $104 | 97% |
| United Medical Resources Contracted [320454] | $155 - $322 | 145% |
| Providrs Care Network Contracted [320484] | $197 | 184% |
| Insurance System Inc Contracted [320465] | $322 | 301% |
| Healthscope Contracted [320182] | $322 - $1,078 | 301% |
| Health Systems Inc Contracted [320174] | $322 | 301% |
| Benefit Management Contracted [320052] | $322 | 301% |
| Point C Contracted [320238] | $322 - $1,078 | 301% |
| Show-Me Health Administrators Contracted [320483] | $420 | 393% |
| Mercy Benefit Admin Contracted [320251] | $420 - $1,007 | 393% |
| Medica Contracted [320239] | $523 | 490% |
| Aither Health Contracted [320449] | $1,007 | 943% |
| Yuzu Health Contracted [320521] | $1,007 | 943% |
| Imagine 360 Contracted [320494] | $1,007 | 943% |
| Auxiant Contracted [320462] | $1,007 - $1,078 | 943% |
| Ebms Contracted [320493] | $1,007 | 943% |
| Edison Health Solutions Contracted [320502] | $1,007 | 943% |
| Reflect Health Contracted [320492] | $1,007 | 943% |
| American Healthcare Alliance Contracted [320020] | $1,007 | 943% |
| Healthlink Contracted [320179] | $1,078 | 1009% |
| Federal Medical Center Contracted [320127] | $1,078 | 1009% |
| Preferred Health Plan Contracted [320522] | $1,078 | 1009% |
| Compcare Of The Ozarks Contracted [320437] | $1,136 | 1064% |
| Workers Comp [20426] | $1,150 | 1077% |
| Private Health Care Systems Contracted [320320] | $1,330 | 1245% |
| Multiplan [20270] | $1,366 | 1279% |
| Multiplan Contracted [320270] | $1,366 | 1279% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), Mercy Specialty Hospital Southeast Kansas lists a gross charge of $1,438.00, with a cash median price of $935.00 and a median negotiated rate of $176.00. While the facility is located in Galena, KS, the data provided does not include specific county or state average figures for comparison. However, the facility's cash price of $935.00 is significantly higher than the median paid amount of $94.00, illustrating the substantial administrative costs and markup inherent in insurance billing. Patients with high-deductible plans may find that paying the cash price of $935.00 upfront is more cost-effective than using insurance, as the negotiated rate often includes administrative fees that inflate the final bill. It is advisable to confirm with the hospital whether a "self-pay" or "prompt-pay" discount is available, which could further reduce the out-of-pocket cost.
The facility's pricing is benchmarked against Medicare, with a Medicare amount of $106.81. The commercial negotiated rates observed across various payers range widely, with the lowest at $56 for Medicaid/KanCare and the highest reaching $1,366 for certain contracted plans, reflecting the variability in network tiers and contract dynamics. Notably, the median paid amount of $94.00 is approximately 88% lower than the Medicare amount of $106.81, suggesting that for some payers, the actual reimbursement may be below the federal baseline. This disparity highlights the importance of verifying your specific plan's allowed amount