Ultrasound, abdomen (complete)
Facility: Stevens County Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $222
- Cash Discount Price: $255
- vs. Medicare Baseline: 2.08x 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 208% of the Medicare baseline (a markup of 108%). 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 |
|---|---|---|
| Humana | $94 | 88% |
| Aetna | $97 - $255 | 91% |
| Blue Cross Blue Shield | $144 - $152 | 135% |
| First Health - All Plans | $230 | 215% |
| Wppa - All Plans | $242 | 227% |
| Medicaid / KanCare | $255 | 239% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), Stevens County Hospital in Hugoton, KS, has a cash median price of $255.00, which matches the gross charge and is identical to the Medicare amount of $106.81 when adjusted for the facility's specific pricing structure. While commercial payers like Aetna and Blue Cross Blue Shield have negotiated rates ranging from $94 to $255, the cash price remains the highest single figure in the dataset. Patients with high-deductible plans should consider that paying cash upfront may be more cost-effective than relying on insurance, as the cash rate of $255.00 is comparable to the highest negotiated rates seen for this service. It is important to ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing administrative claim processing fees.
This facility, a Critical Access Hospital owned by the local government, has a facility rating of 4 and is located in zip code 67951. The data indicates a median paid amount of $94.00 across payer plans, which is substantially lower than the cash price, suggesting that insurance coverage often results in a lower out-of-pocket cost for members who meet their deductibles. However, patients must be aware of balance billing risks if they receive care from out-of-network providers, even at an in-network facility, where the provider could bill the difference between their full charge and the insurance allowed amount. To avoid unexpected costs, consumers should request an itemized billing audit to verify that no services were unbundled or double-ch