Ultrasound, abdomen (complete)
Facility: Lane County Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $450
- Cash Discount Price: $450
- vs. Medicare Baseline: 4.21x 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 421% of the Medicare baseline (a markup of 321%). 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 |
|---|---|---|
| Aetna | $405 - $428 | 379% |
| UnitedHealthcare | $405 - $450 | 379% |
| Healthy Blue Mcaid | $450 | 421% |
| Medicaid / KanCare | $450 - $495 | 421% |
| Healthy Blue Mcr Adv - All Other Plans | $450 | 421% |
| Wppa Providers-All Plans | $675 | 632% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, representing a complete abdominal ultrasound at Lane County Hospital in Dighton, KS, the cash price is $450.00, which matches the facility's negotiated rates with UnitedHealthcare and Healthy Blue Mcaid. This cash price is significantly lower than the state average for this procedure, which is $450.00, and notably lower than the Medicare benchmark of $106.81, indicating a markup of 420% over the federal baseline. While commercial payers like Aetna and Medicaid/KanCare have negotiated ranges starting at $405 and extending up to $675, the cash rate remains the most affordable option for patients who may have high deductibles or are uninsured. Patients should verify their specific plan's deductible status before scheduling, as paying the cash price upfront could result in immediate savings compared to waiting for insurance reimbursement, which often includes administrative fees and potential balance billing if coverage limits are exceeded.
To ensure you receive the most accurate pricing, it is important to distinguish between the facility's gross charges and the actual amounts paid. The gross charge for this service is $450.00, but commercial payers negotiate rates that can vary; for instance, Wppa Providers-All Plans have a fixed rate of $675.00, which is higher than the cash price. If you choose to pay out-of-network or if ancillary services are billed separately, be aware that balance billing could occur, where you are responsible for the difference between the provider's full charge and your insurance's allowed amount. However, the No Surprises Act protects patients from such surprise bills for emergency