Ultrasound, abdomen (complete)
Facility: Stafford County Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $254
- Cash Discount Price: $254
- vs. Medicare Baseline: 2.38x 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 238% of the Medicare baseline (a markup of 138%). 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 |
|---|---|---|
| Health Partners-All Plans | $241 | 226% |
| UnitedHealthcare | $254 | 238% |
| Medica Mcr- All Plans | $254 | 238% |
| Va Ccn-All Plans | $254 | 238% |
| Humana | $254 | 238% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), the facility's cash and negotiated rates are both $254.00, which matches the gross charge and the median paid amount. This rate is significantly higher than the Medicare benchmark of $106.81, reflecting a markup of 2.4 times the federal baseline. While the data does not provide specific county or state average comparisons for this procedure, the fixed negotiated rate of $254.00 across all five payers—including Health Partners-All Plans, UnitedHealthcare, and Medica Mcr- All Plans—indicates a uniform pricing structure for in-network members. Patients with high-deductible plans may find this cash price advantageous if their insurance negotiated rate exceeds $254.00, as paying out-of-pocket could result in lower total costs.
To minimize expenses, patients should verify their specific plan's allowed amount before scheduling, as in-network rates can vary significantly between providers. It is also important to inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. Since the facility is a Critical Access Hospital in Stafford, KS, with government-local ownership, patients should request an itemized bill to ensure no unbundled codes or services not rendered are included. If any discrepancies arise, a formal written audit dispute should be sent to the billing supervisor to resolve errors before payment.