Ultrasound, abdomen (complete)
Facility: Grisell Memorial Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $262
- Cash Discount Price: $285
- vs. Medicare Baseline: 2.45x 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 245% of the Medicare baseline (a markup of 145%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $142 | 133% |
| UnitedHealthcare | $223 - $300 | 209% |
| Humana | $300 | 281% |
| Medicaid / KanCare | $300 | 281% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), Grisell Memorial Hospital in Ransom, KS, has a cash median price of $285.00, which is slightly lower than the facility's negotiated median paid rate of $300.00. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients should be aware that commercial insurance rates can sometimes exceed cash prices; for instance, UnitedHealthcare's negotiated range spans from $223 to $300, meaning a patient with a high deductible might save money by paying the cash rate of $285.00 directly, provided they have no other coverage. It is always advisable to contact the hospital's billing department before scheduling to confirm if a "self-pay" or "prompt-pay" discount is available, as these upfront payment incentives can further reduce the final cost.
When evaluating this price, it is important to compare it against the Medicare benchmark rather than the hospital's full chargemaster list. The Medicare amount for this procedure is $106.81, and the facility's negotiated rate of $262.00 represents a markup of approximately 2.5 times the Medicare rate. This aligns with typical commercial pricing structures where negotiated rates often range between 200% and 300% of the Medicare baseline due to administrative costs and contract dynamics. If you receive a bill that appears to include balance billing for out-of-network services, remember that the No Surprises Act generally protects you from being billed the difference between the provider's full rate and your insurance allowed amount for emergency care or non-emergency services at in-network facilities