Ultrasound, abdomen (complete)
Facility: Great Plains Of Sabetha
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $458
- Cash Discount Price: $482
- vs. Medicare Baseline: 4.29x 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 429% of the Medicare baseline (a markup of 329%). 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 |
|---|---|---|
| Celtic Mcr Adv | $251 | 235% |
| Aetna | $253 - $487 | 237% |
| Celtic Comm Exchange-All Other Plans | $313 | 293% |
| Great West Healthcare-All Plans | $409 | 383% |
| UnitedHealthcare | $448 - $482 | 419% |
| Cigna | $458 | 429% |
| Multiplan-Phcs-All Plans | $458 | 429% |
| Humana | $458 | 429% |
| Century/Wppa/Providers-All Plans | $458 | 429% |
| Federated Mutual Ins-All Plans | $462 | 433% |
| Blue Cross Blue Shield | $482 | 451% |
| Medicaid / KanCare | $482 | 451% |
Consumer Guidance & Cost Commentary
For the ultrasound procedure code 76700 at Great Plains Of Sabetha in Sabetha, Kansas, the cash price is $482.00, which matches the facility's gross chargemaster rate. This cash rate is significantly higher than the state average, as the median negotiated rate across payers is $458.00, and the median amount paid by insurers is $409.00. While the cash price is the highest figure listed, it is important to note that for patients with high-deductible plans, paying the cash price of $482.00 upfront can sometimes be more cost-effective than relying on insurance, which may result in a higher out-of-pocket expense if the patient's deductible has not yet been met.
To minimize potential surprise costs, patients should verify their specific plan details and ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid in full before services are rendered. Additionally, if you are billed for services rendered at this Critical Access Hospital, you should request a detailed, itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. If you receive a balance bill from an out-of-network provider, remember that the No Surprises Act protects you from paying the difference between the provider's full rate and your insurance allowed amount for emergency and non-emergency care at in-network facilities.