Ultrasound, abdomen (complete)
Facility: Rooks County Health Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $631
- Cash Discount Price: $526
- vs. Medicare Baseline: 5.91x 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 591% of the Medicare baseline (a markup of 491%). 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% |
| Veterans Admin - All Plans | $329 | 308% |
| Celtic Mcr Adv | $329 | 308% |
| Tricare | $329 | 308% |
| Celtic Comm - All Other Plans | $362 | 339% |
| Aetna | $631 | 591% |
| UnitedHealthcare | $631 | 591% |
| Preferred Benefits Admin | $631 | 591% |
| Health Partners - All Plans | $666 | 624% |
| Preferred Hlthcare - All Other Plans | $666 | 624% |
| Healthy Blue Mcaid - All Plans | $701 | 656% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), Rooks County Health Center in Plainville, KS, has a cash median price of $526.00 and a median negotiated rate of $631.00. The facility's cash price is lower than the state average, which is $526.00, and the negotiated rate matches the state average exactly. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients should be aware that commercial insurance carriers like Aetna, UnitedHealthcare, and Healthy Blue Mcaid have negotiated rates of $631.00, which aligns with the state average. However, for patients with high-deductible plans, paying the cash price of $526.00 directly may result in significant savings compared to the $631.00 rate billed by insurance, provided the patient's deductible has not yet been met.
To ensure you receive the most accurate billing information, it is crucial to request an itemized bill before paying, as summary bills often obscure individual costs and may contain unbundled charges or services not rendered. If you choose to pay out-of-pocket, ask the billing department about prompt-pay discounts, which can reduce the total cost by 20% to 50% if settled within 30 days. Additionally, since the facility is in-network for payers such as Veterans Admin and Celtic Mcr Adv, verify your specific plan details to confirm whether your deductible has been satisfied; if not, the negotiated rate of $631.00 will likely be your responsibility. Always compare the final itemized charges against the