Ultrasound, abdomen (complete)
Facility: Logan County Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $481
- Cash Discount Price: $140
- vs. Medicare Baseline: 4.50x 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 450% of the Medicare baseline (a markup of 350%). 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 | $297 | 278% |
| Health Partners - All Plans | $665 | 623% |
| Medicaid / KanCare | $700 | 655% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), Logan County Hospital in Oakley, KS, has a gross charge of $700.00. The facility's negotiated rates with payers like Blue Cross Blue Shield, Humana, and Health Partners range from $152 to $665, while the cash median is significantly lower at $140.00. This cash price is notably lower than the facility's negotiated rates and represents a substantial discount compared to the gross charge. For patients with high-deductible plans or those without insurance, paying the cash median of $140.00 upfront could result in immediate savings, as the insurance negotiated rates often exceed this amount. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these upfront payment incentives can further reduce the final bill by bypassing administrative claim processing fees.
The facility's pricing is also evaluated against Medicare benchmarks, with a Medicare amount of $106.81 for this service. The cash median of $140.00 is approximately 1.3 times the Medicare rate, which falls within the range of fair pricing typically defined as 120% to 150% of Medicare, whereas commercial negotiated rates often average 200% to 300% of Medicare. While the facility is a Critical Access Hospital owned by the Government - Local, patients should be aware that balance billing is generally prohibited for emergency care under the No Surprises Act, though unexpected charges can occur if ancillary services are out-of-network. To ensure transparency, patients should request a full