Ultrasound, abdomen (complete)
Facility: Graham County Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $215
- Cash Discount Price: $278
- vs. Medicare Baseline: 2.01x 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 201% of the Medicare baseline (a markup of 101%). 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 |
|---|---|---|
| Medicaid / KanCare | $145 | 136% |
| UnitedHealthcare | $145 - $264 | 136% |
| Blue Cross Blue Shield | $150 | 140% |
| Medicare (plans) | $208 | 195% |
| Celtic Commercial-All Other Plans | $229 | 214% |
| Wppa (Providers Care)-All Plans | $264 | 247% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), Graham County Hospital in Hill City, KS, has a cash price of $278.00, which matches the facility's gross charge and the median cash payment. This rate is significantly higher than the Medicare benchmark of $106.81, reflecting a markup typical of commercial pricing structures where negotiated rates often range from 200% to 300% of the Medicare amount. While the facility is a Critical Access Hospital owned by the local government, patients with high-deductible plans may find that paying the full cash price of $278.00 upfront is more cost-effective than relying on insurance, as the median negotiated rate paid by UnitedHealthcare is $229.00 and other payers have rates ranging from $145.00 to $264.00.
To minimize out-of-pocket costs, patients should proactively contact the hospital to inquire about self-pay or prompt-pay discounts, which can reduce the bill by 20% to 50% if paid in full before the insurance billing cycle begins. 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. If a patient receives a balance bill for an out-of-network service at this in-network facility, they should not pay immediately out of fear of credit damage; instead, they should dispute the charge with their insurer and request a No Surprises Act audit to ensure compliance with federal protections against surprise billing.