Ultrasound, abdomen (complete)
Facility: Medicine Lodge Memorial Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $434
- Cash Discount Price: $457
- vs. Medicare Baseline: 4.06x 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 406% of the Medicare baseline (a markup of 306%). 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 | $366 | 343% |
| Humana | $416 | 389% |
| Aetna | $423 - $457 | 396% |
| Hpk-All Plans | $434 | 406% |
| UnitedHealthcare | $434 | 406% |
| Medicaid / KanCare | $457 | 428% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, representing a complete abdominal ultrasound at Medicine Lodge Memorial Hospital in Medicine Lodge, Kansas, the facility's cash price is $457.00. This cash rate aligns exactly with the highest negotiated amount paid by Medicaid/KanCare and the gross chargemaster, while the median negotiated rate across six payers is $434.00. In this specific case, the cash price is identical to the maximum negotiated rate, meaning patients with high-deductible plans or those without insurance may find paying out-of-pocket directly to the hospital offers the same financial outcome as using insurance, provided they do not incur additional administrative fees. Because the cash price matches the top-tier negotiated rate, there is no scenario where paying cash is cheaper than using insurance for this procedure at this facility.
The facility's pricing structure reflects a standard commercial negotiation model where the median allowed amount of $434.00 serves as the ceiling for in-network members. While the data does not provide specific county or state average comparisons for this exact procedure, the facility operates as a Critical Access Hospital with government ownership, which often influences rate structures to remain competitive within the region. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, it does not guarantee that the negotiated rate is the lowest possible price available. To ensure the most favorable payment, individuals should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can sometimes lower the final cost below the standard cash price listed in this report.