Ultrasound, abdomen (complete)
Facility: Ashland Health Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $211
- Cash Discount Price: $168
- vs. Medicare Baseline: 1.98x 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 |
|---|---|---|
| Blue Cross Blue Shield | $71 | 66% |
| Compalliance-All Plans | $168 | 157% |
| Health Partners Of Kansas-All Plans | $179 | 168% |
| Multiplan-All Plans | $206 | 193% |
| UnitedHealthcare | $210 | 197% |
| Health Choice-All Plans | $210 | 197% |
| Medicaid / KanCare | $210 | 197% |
| Aetna | $210 | 197% |
| Medica Mcare - All Plans | $210 | 197% |
| Medicare (plans) | $210 | 197% |
| Healthy Blue Mcr Adv - All Other Plans | $210 | 197% |
| Providers Care (Wppa)-All Plans | $316 | 296% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), Ashland Health Center in Ashland, KS, has a gross charge of $211.00. The facility's negotiated rates across various payers, including Blue Cross Blue Shield and UnitedHealthcare, align closely with the gross charge, ranging from $71.00 to $211.00 depending on the specific plan. Notably, the cash median price is $168.00, which is lower than the negotiated rates for most commercial insurers. This suggests that for patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash price of $168.00 upfront could result in significant savings compared to the insurance negotiated rates, which often include administrative overheads that inflate the baseline price. Patients should verify their specific plan's deductible status and consider requesting a self-pay or prompt-pay discount before scheduling to ensure they are not paying the full negotiated amount.
When evaluating the cost relative to federal benchmarks, the Medicare amount for this procedure is $106.81. The facility's gross charge of $211.00 represents a markup of 2.0 times the Medicare rate, which is consistent with the data provided for this vintage. While the data does not include explicit state or county average comparisons for this specific code, the facility operates as a Critical Access Hospital in a voluntary non-profit setting. To avoid unexpected costs, patients should request an itemized billing audit to ensure no unbundled codes or services not rendered are included in the final invoice, as over 80% of hospital bills often contain errors. Additionally,