Ultrasound, abdomen (complete)
Facility: Mercy Hospital Columbus
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $709
- Cash Discount Price: $635
- vs. Medicare Baseline: 6.64x 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 664% of the Medicare baseline (a markup of 564%). 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 | $65 - $709 | 61% |
| Humana | $65 - $928 | 61% |
| UnitedHealthcare | $91 - $811 | 85% |
| Blue Cross Blue Shield | $91 - $709 | 85% |
| Medicare (plans) | $100 - $738 | 94% |
| Insurance System Inc Contracted [320465] | $420 | 393% |
| Health Systems Inc Contracted [320174] | $420 | 393% |
| Administrative Payor Contracted [320005] | $440 | 412% |
| Cross Timbers Hospice [20098] | $709 | 664% |
| Pace Of The Ozarks Contracted [320518] | $709 | 664% |
| Qual Choice Contracted [320325] | $709 | 664% |
| Kindful Hospice Contracted [320434] | $709 | 664% |
| Halo Hcr Inc Hospice [20432] | $709 | 664% |
| Globalhealth Contracted [320145] | $709 | 664% |
| Provider Partners Health Plans Contracted [320450] | $709 | 664% |
| Mercy Hospice Okc [20252] | $709 | 664% |
| Halo Hcr Inc Hospice Contracted [320432] | $709 | 664% |
| Centurion Of Missouri [20459] | $709 | 664% |
| Dept Of Veteran Affairs Contracted [320106] | $709 | 664% |
| Indian Health Service Contracted [320198] | $709 | 664% |
| Cigna | $709 | 664% |
| Cherokee Nation Health Serv Contracted [320066] | $709 | 664% |
| Home State Health Plan Contracted [320187] | $709 | 664% |
| Kindful Hospice [20434] | $709 | 664% |
| Novasys Contracted [320285] | $709 | 664% |
| Aetna | $709 - $879 | 664% |
| Ambetter / Centene | $709 | 664% |
| Elara Caring Aspire Hospice [20433] | $709 | 664% |
| Mercy Mgd Behavioral Health Contracted [320259] | $709 | 664% |
| Medical Associates Health Contracted [320444] | $709 | 664% |
| Tricare | $712 | 667% |
| Healthscope Contracted [320182] | $753 | 705% |
| Workers Comp [20426] | $782 - $830 | 732% |
| United Medical Resources Contracted [320454] | $811 - $928 | 759% |
| Medica Contracted [320239] | $875 | 819% |
| Healthlink Contracted [320179] | $879 - $928 | 823% |
| Usa Managed Care Org Contracted [320429] | $879 | 823% |
| American Healthcare Alliance Contracted [320020] | $879 | 823% |
| Preferred Health Plan Contracted [320522] | $879 | 823% |
| Federal Medical Center Contracted [320127] | $879 | 823% |
| Mercy Benefit Admin Contracted [320251] | $879 - $928 | 823% |
| First Health Contracted [320128] | $879 | 823% |
| Show-Me Health Administrators Contracted [320483] | $928 | 869% |
| Imagine 360 Contracted [320494] | $928 | 869% |
| Auxiant Contracted [320462] | $928 | 869% |
| Benefit Management Contracted [320052] | $928 | 869% |
| Ppo Plus Contracted [320310] | $928 | 869% |
| Point C Contracted [320238] | $928 | 869% |
| 90 Degree Benefits Contracted [320436] | $928 | 869% |
| Private Health Care Systems Contracted [320320] | $928 | 869% |
| Ebms Contracted [320493] | $928 | 869% |
| Aither Health Contracted [320449] | $928 | 869% |
| Reflect Health Contracted [320492] | $928 | 869% |
| Yuzu Health Contracted [320521] | $928 | 869% |
| Edison Health Solutions Contracted [320502] | $928 | 869% |
Consumer Guidance & Cost Commentary
For patients paying out-of-pocket, the cash rate for this Ultrasound, abdomen (complete) procedure at Mercy Hospital Columbus is $635. This self-pay price is notably lower than the facility's gross charge of $977 and the median negotiated rate of $709 paid by insurance plans. While commercial insurance contracts often result in higher payments due to administrative processing fees and network tiering, the cash rate remains the most affordable option for individuals without insurance coverage. Patients should verify with the hospital whether additional "self-pay" or "prompt-pay" discounts are available if they settle the bill in full upfront, as these incentives can further reduce the final amount owed.
The procedure's cash rate of $635 is significantly lower than the state average of $977 and the national average of $635, indicating this facility may offer competitive pricing for direct billing. When considering insurance options, the lowest allowed amounts range from $65 for Medicaid/KanCare plans to $709 for most commercial payers, though some contracted entities charge between $712 and $928. It is important to note that while insurance negotiated rates often exceed cash prices, patients with high-deductible plans might still face out-of-pocket costs if their deductible has not been met. Before scheduling, consumers should request an itemized bill to review specific CPT codes and avoid summary charges that may obscure unbundled fees or services not rendered, ensuring transparency in the final cost.