Ultrasound, abdomen (complete)
Facility: F W Huston Medical Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $546
- Cash Discount Price: $567
- vs. Medicare Baseline: 5.11x 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 511% of the Medicare baseline (a markup of 411%). 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% |
| Aetna | $532 | 498% |
| Humana | $560 | 524% |
| Cigna | $603 | 565% |
Consumer Guidance & Cost Commentary
For the ultrasound procedure at F W Huston Medical Center in Winchester, KS, the facility's cash price of $567.00 is notably lower than the average commercial negotiated rates paid by major insurers like Aetna ($532), Humana ($560), and Cigna ($603). While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. It is important to note that the cash median of $567.00 is also lower than the gross chargemaster rate of $709.00, and while the facility does not currently publish a specific rating, patients should verify their specific plan details before scheduling to ensure they understand their out-of-pocket responsibilities.
When reviewing your final bill, be aware that commercial insurance rates can sometimes include administrative markups that make them higher than the direct cash price, even for in-network services. If you receive a bill that appears to include balance billing for out-of-network ancillary services, remember that the No Surprises Act generally protects you from these surprise charges for emergency and non-emergency care at in-network facilities. Furthermore, since over 80% of hospital bills contain errors, you have the right to request a full itemized audit before agreeing to any payment plan; this allows you to identify unbundled codes or services not rendered. Finally, do not assume the insurance negotiated rate is the lowest possible price, as this facility offers a prompt-pay discount for self-pay patients who settle their bill upfront, which can significantly reduce the total amount owed compared to