Ultrasound, abdomen (complete)
Facility: Nemaha Valley Community Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $452
- Cash Discount Price: $811
- vs. Medicare Baseline: 4.23x 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 423% of the Medicare baseline (a markup of 323%). 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% |
| Humana | $396 | 371% |
| Va Ccn - All Plans | $396 | 371% |
| Aetna | $400 - $766 | 374% |
| Celtic Comm Exch - All Plans | $436 | 408% |
| Partners Direct Health - All Plans | $469 | 439% |
| Multiplan - All Plans | $811 | 759% |
| Midlands Choice - All Plans | $856 | 801% |
| Health Partners - All Plans | $856 | 801% |
Consumer Guidance & Cost Commentary
For the Ultrasound, abdomen (complete) service at Nemaha Valley Community Hospital in Seneca, KS, the facility's cash median rate of $811.00 is notably higher than the state average of $469.00, though it aligns closely with the cash median for other providers in the region. While commercial insurance plans like Aetna and Humana negotiate rates ranging from $396 to $766, these negotiated amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket. To secure the lowest possible rate, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full upfront before insurance claims are processed.
It is important to understand that the facility's gross charge of $901.00 represents the maximum list price, which is significantly inflated compared to the Medicare benchmark of $106.81. Commercial negotiated rates typically average 200% to 300% of Medicare, whereas fair pricing is generally defined as 120% to 150% of this federal baseline. If you receive a bill that includes unexpected charges beyond the negotiated amount, you may be facing balance billing, which is largely prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act. Before finalizing any payment, request a full itemized audit to ensure no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through a formal written dispute.