Ultrasound, abdomen (complete)
Facility: Wichita County Health Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $519
- Cash Discount Price: $455
- vs. Medicare Baseline: 4.86x 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 486% of the Medicare baseline (a markup of 386%). 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 |
|---|---|---|
| Medicaid / KanCare | $469 | 439% |
| UnitedHealthcare | $569 | 533% |
Consumer Guidance & Cost Commentary
For this ultrasound procedure at Wichita County Health Center, the cash price of $455.00 is lower than the median negotiated rate of $519.00 and the median paid amount of $469.00. While Medicaid/KanCare members pay a fixed $469.00 and UnitedHealthcare members pay the full $569.00, patients with high-deductible plans may find the cash price more affordable if their insurance allows exceed this amount. Because the facility is a Critical Access Hospital in Leoti, KS, and is owned by the local government, patients should explicitly ask for "self-pay" or "prompt-pay" discounts before scheduling to potentially lower the final cost further.
It is important to understand that the $569.00 charged by UnitedHealthcare represents a negotiated rate, which often includes administrative overhead and is higher than the cash price due to multi-layered billing structures. Unlike the federal Medicare benchmark of $106.81, which serves as an objective baseline for true costs, commercial rates can vary significantly based on contract dynamics. If a patient receives care from an out-of-network provider at this facility, they may face balance billing for the difference between the allowed amount and the full charge, though the No Surprises Act protects against such surprise bills for emergency and non-emergency services at in-network facilities. To avoid unexpected costs, patients should request an itemized bill to verify that no unbundled codes or services not rendered are included before agreeing to any payment plan.