Ultrasound, abdomen (complete)
Facility: Hamilton County Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $506
- Cash Discount Price: $562
- vs. Medicare Baseline: 4.74x 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 474% of the Medicare baseline (a markup of 374%). 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 | $71 - $152 | 66% |
| First Health Coventry - All Plans | $478 | 448% |
| UnitedHealthcare | $534 | 500% |
| Cigna | $534 | 500% |
| Va Ccn - All Plans | $562 | 526% |
| Aetna | $955 | 894% |
Consumer Guidance & Cost Commentary
For the CPT code 76700 (Ultrasound, abdomen), Hamilton County Hospital in Syracuse, KS, lists a cash price of $562.00, which matches the facility's negotiated rate for UnitedHealthcare, Cigna, and Va Ccn. This cash price is significantly higher than the state average for this procedure, which is $106.81 per the Medicare benchmark. While commercial insurance plans like Blue Cross Blue Shield and First Health Coventry have negotiated rates ranging from $71 to $478, these figures represent the maximum amounts insurers agree to pay, not necessarily the final amount you owe. Patients with high-deductible plans may find paying the $562.00 cash price more cost-effective if their insurance negotiated rate exceeds this amount, as they would avoid out-of-pocket costs until their deductible is met.
To minimize costs, patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the total bill by 20% to 50%. It is also important to request a detailed, itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. Finally, while the No Surprises Act protects patients from balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, patients should still review their specific plan details to ensure they are not subject to unexpected charges.