Ultrasound, abdomen (complete)
Facility: Jewell County Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $912
- Cash Discount Price: $720
- vs. Medicare Baseline: 8.54x 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 854% of the Medicare baseline (a markup of 754%). 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 |
|---|---|---|
| Rural Carriers - All Plans | $816 | 764% |
| Aetna | $864 | 809% |
| Meritain - All Plans | $864 | 809% |
| Cigna | $912 | 854% |
| First Health - All Plans | $912 | 854% |
| UnitedHealthcare | $912 | 854% |
| Midlands Choice - All Plans | $912 | 854% |
Consumer Guidance & Cost Commentary
For the ultrasound procedure (CPT 76700) at Jewell County Hospital in Mankato, KS, the facility's negotiated rate of $912 aligns exactly with the median paid amount across all seven commercial payers, including Rural Carriers, Aetna, Cigna, and UnitedHealthcare. This rate is significantly higher than the Medicare benchmark of $106.81, reflecting the standard administrative markup inherent in commercial contracts. While the facility is a Critical Access Hospital with government local ownership, the data does not provide specific county or state average comparisons for this procedure, so patients should rely on the Medicare rate as the primary objective baseline for evaluating the facility's pricing markup.
Patients with high-deductible plans may find that paying the cash price of $720 upfront is more cost-effective than using insurance, as the commercial negotiated rate of $912 exceeds the cash amount. To maximize savings, it is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can further reduce the bill by bypassing the administrative costs associated with insurance claims processing. Since the facility is in-network, the No Surprises Act protects patients from balance billing for out-of-network services at this location, but patients should still request an itemized bill to verify that all charges are accurate and that no unbundled codes or services not rendered have been included.