Ultrasound, abdomen (complete)
Facility: Wamego Health Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $67
- Cash Discount Price: $554
- vs. Medicare Baseline: 0.63x 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 |
|---|---|---|
| UnitedHealthcare | $31 - $91 | 29% |
| Medicaid / KanCare | $33 - $94 | 31% |
| Aetna | $33 - $94 | 31% |
| Providrs Care | $51 - $155 | 48% |
| Tricare | $99 | 93% |
| Blue Cross Blue Shield | $199 - $209 | 186% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), the facility's cash median price of $554.00 is significantly lower than the gross charge of $1,386.00. This cash rate is notably lower than the state of Kansas average, which typically ranges between 120% and 150% of the Medicare benchmark of $106.81. While commercial insurance plans like UnitedHealthcare, Aetna, and Medicaid/KanCare have negotiated rates ranging from $31 to $209, these amounts often exceed the cash price. For patients with high-deductible plans or those without insurance, paying the cash rate directly can result in substantial savings compared to the negotiated rates charged to insured members.
To ensure you receive the most accurate and lowest possible price, it is critical to request an itemized billing audit before finalizing payment. Hospitals often issue summary bills that obscure individual line items, making it difficult to identify unbundled charges or services not rendered. By demanding a detailed CPT-coded statement, you can verify that all components of the ultrasound are correctly bundled and that no unnecessary fees are included. Additionally, since this facility is a Critical Access Hospital in Wamego, KS, you should explicitly ask about "prompt-pay" discounts or self-pay rates prior to scheduling, as paying in full upfront can sometimes bypass administrative markups and further reduce your out-of-pocket costs.