Ultrasound, abdomen (complete)
Facility: Rawlins County Health Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $331
- Cash Discount Price: $323
- vs. Medicare Baseline: 3.10x 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 310% of the Medicare baseline (a markup of 210%). 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 | $152 | 142% |
| UnitedHealthcare | $331 | 310% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, representing a complete abdominal ultrasound, Rawlins County Health Center in Atwood, KS, lists a cash median price of $323.00 and a median negotiated rate of $331.00. While the cash price is slightly lower than the negotiated amount, patients with high-deductible plans may find paying out-of-pocket more advantageous if their insurance negotiated rate exceeds this cash price. It is important to note that the cash rate is significantly higher than the Medicare benchmark of $106.81, which serves as the federal baseline for evaluating hospital pricing markups. Commercial rates often average 200% to 300% of Medicare, whereas fair pricing is typically defined as 120% to 150% of this baseline.
Before scheduling, patients should verify whether the facility offers "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% for upfront payments. Although the No Surprises Act protects patients from balance billing for emergency care and non-emergency services at in-network facilities, it is crucial to confirm that all ancillary services, such as lab work, are covered under the same network agreement. Given that over 80% of hospital bills contain errors, consumers are encouraged to request a full itemized statement to identify any unbundled codes or services not rendered before finalizing payment.