Ultrasound, abdomen (complete)
Facility: Kiowa County Memorial Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $187
- Cash Discount Price: $179
- vs. Medicare Baseline: 1.75x 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.
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 - $187 | 142% |
| UnitedHealthcare | $168 - $210 | 157% |
| Health Partners Of Ks-All Plans | $185 | 173% |
| Humana | $187 | 175% |
| Aetna | $187 | 175% |
| Medica Prime Mcare Cost-All Plans | $187 | 175% |
| Celtic Comml Exchange-All Other Plans | $187 | 175% |
| Medicaid / KanCare | $210 | 197% |
| Providrs Care/Wppa-All Plans | $315 | 295% |
Consumer Guidance & Cost Commentary
For the CPT code 76700 (Ultrasound, abdomen), Kiowa County Memorial Hospital in Greensburg, KS, has a cash median price of $179.00, which is lower than the facility's negotiated rates of $187.00 and the gross charge of $210.00. While the facility is a Critical Access Hospital owned by the local government, patients with high-deductible plans may find paying the cash price directly more cost-effective than relying on insurance, as the negotiated rates paid by insurers like Blue Cross Blue Shield and UnitedHealthcare exceed the cash amount. It is important to note that while Medicaid/KanCare pays the full gross amount of $210.00, commercial payers negotiate lower rates, meaning the cash price serves as a potential floor for self-pay patients who can bypass administrative fees and claims processing delays.
To ensure you are not overcharged, always request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If you receive a surprise balance bill from an out-of-network provider, the No Surprises Act may protect you from paying the difference between the provider's full charge and your insurance allowed amount, provided you dispute the bill in writing rather than accepting a summary invoice. Additionally, ask the hospital about prompt-pay discounts, which can reduce your bill by 20% to 50% if paid upfront, effectively bypassing the costly insurance billing cycle and administrative overhead that inflates commercial rates.