Ultrasound, abdomen (complete)
Facility: Cheyenne County Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $242
- Cash Discount Price: $303
- vs. Medicare Baseline: 2.27x 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 227% of the Medicare baseline (a markup of 127%). 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 |
|---|---|---|
| First Health - All Plans | $126 - $350 | 118% |
| Tricare | $130 - $360 | 122% |
| Aetna | $130 - $475 | 122% |
| Healthy Blue Mcr Adv | $130 - $360 | 122% |
| UnitedHealthcare | $130 - $500 | 122% |
| Choice Care - All Plans | $131 - $364 | 123% |
| Firstguard - All Plans | $144 - $400 | 135% |
| Blue Cross Blue Shield | $150 | 140% |
| Wppa - All Plans | $162 - $450 | 152% |
| Preferred Hc - All Plans | $171 - $475 | 160% |
| Cpm - All Plans | $171 - $475 | 160% |
| Midlands Choice - All Plans | $175 - $485 | 164% |
| Unicare - All Plans | $176 - $490 | 165% |
| Health Partners - All Plans | $176 - $490 | 165% |
| Integrated Hp - All Plans | $176 - $490 | 165% |
| Ppo Next - All Plans | $176 - $490 | 165% |
| Healthwave Mcaid - All Plans | $180 - $500 | 169% |
| Childrens Mercy - All Plans | $180 - $500 | 169% |
| Healthy Blue Mcaid - All Other Plans | $180 - $500 | 169% |
| Providers Care-All Plans | $270 - $750 | 253% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, "Ultrasound, abdomen (complete)," Cheyenne County Hospital in St. Francis, KS, lists a gross charge of $340.00. While the facility's cash median rate is $303.00 and the median negotiated rate with insurance payers is $242.00, these figures are significantly higher than the Medicare benchmark of $106.81. This indicates a substantial markup relative to the federal government's cost-based reimbursement standard. For patients with high-deductible plans, paying the cash price of $303.00 upfront may be more cost-effective than relying on insurance, which often results in higher allowed amounts due to administrative overhead and contract dynamics.
Patients should be aware that commercial insurance rates can vary widely; for instance, First Health - All Plans has a low-end rate of $126, while UnitedHealthcare ranges up to $500. To minimize costs, individuals should contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full. Additionally, if a patient receives care from an out-of-network provider at this facility, they are protected by the No Surprises Act from being balance billed for the difference between the provider's chargemaster and the insurance allowed amount. Finally, before settling any invoice, patients should request a detailed, itemized bill to ensure no errors, unbundled codes, or services not rendered are included, as over 80% of hospital bills contain such discrepancies.