CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Ellinwood District Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $151
  • Cash Discount Price: $183
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Ellinwood District Hospital is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $183. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.41x the Medicare baseline. Located in 605 N Main Street, Ellinwood, KS.
Cash / Self-Pay
$183

Average discount available for prompt cash payment at this facility.

Insurance Median
$151

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $183 (171%)
Insurance Median: $151 (141%)
Cash: $183 (171% of Medicare)
Ins. Median: $151 (141% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Cigna $150 140%
Blue Cross Blue Shield $150 140%
Humana $150 140%
UnitedHealthcare $150 140%
Aetna $150 140%

Consumer Guidance & Cost Commentary

For the Ultrasound, abdomen (complete) procedure at Ellinwood District Hospital in Ellinwood, KS, the cash median price is $183.00, while the median negotiated rate paid by commercial payers is $151.00. This facility, a Critical Access Hospital owned by a Government Hospital District, reports a gross charge of $215.00. Although the negotiated rate is lower than the cash price, patients with high-deductible plans may find paying the cash median of $183.00 more cost-effective if their insurance allows them to pay the full negotiated rate of $151.00 without meeting their deductible first. It is important to note that while the facility does not list a specific state or county average for comparison in this dataset, the Medicare benchmark for this service is $106.81, indicating that both cash and negotiated rates exceed the federal baseline.

To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. Since the facility is in-network for Cigna, Blue Cross Blue Shield, Humana, UnitedHealthcare, and Aetna, patients are protected from balance billing for emergency services under the No Surprises Act, though they should still verify that all ancillary services are covered. If a large bill is received, consumers should request a full itemized audit to identify any errors or unbundled codes, as over 80% of hospital bills contain discrepancies. Finally, while the facility's negotiated rate is higher than the Medicare amount, it remains significantly

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 605 N Main Street, Ellinwood, KS 67526
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals