Ultrasound, abdomen (complete)
Facility: Kiowa District Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $350
- Cash Discount Price: $296
- vs. Medicare Baseline: 3.28x 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 328% of the Medicare baseline (a markup of 228%). 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 |
|---|---|---|
| Tricare | $144 | 135% |
| Blue Cross Blue Shield | $150 | 140% |
| Healthchoice-All Plans | $224 | 210% |
| UnitedHealthcare | $296 - $370 | 277% |
| Health Partners Of Ks-All Plans | $326 | 305% |
| Humana | $334 | 313% |
| Gbs Insurance - All Plans | $348 | 326% |
| Multiplan-All Plans | $348 | 326% |
| Triwest-All Plans | $352 | 330% |
| Aetna | $352 | 330% |
| Medicare (plans) | $352 | 330% |
| Medicaid / KanCare | $370 | 346% |
| Providers Care (Wppa)-All Plans | $555 | 520% |
| Liberty Healthshare-All Plans | $598 | 560% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), at Kiowa District Hospital in Kiowa, KS, the cash median price is $296.00, which is lower than the facility's negotiated rates for most major payers. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients with high-deductible plans may find the cash price more affordable than their insurance allowed amounts, which range from $144 for Tricare up to $598 for Liberty Healthshare. It is important to note that commercial negotiated rates often include administrative overhead and contract dynamics that can make them higher than the direct cash price, so patients should verify their specific plan's allowed amount before scheduling to ensure they are not paying more than necessary.
When reviewing your bill, be aware that summary invoices may obscure individual charges, so requesting a full itemized CPT-coded statement is the most effective way to identify errors or unbundled services. Although the No Surprises Act protects patients from balance billing for out-of-network providers at in-network facilities, it is still wise to ask the hospital about "self-pay" or "prompt-pay" discounts before check-in, as these upfront fee reductions can significantly lower the final cost. Additionally, comparing the facility's rates to the Medicare benchmark of $106.81 reveals a significant markup, highlighting the importance of understanding that commercial rates are often inflated compared to the federal cost baseline used to calculate true healthcare delivery costs.