Ultrasound, abdomen (complete)
Facility: Wilson Medical Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $240
- Cash Discount Price: $225
- vs. Medicare Baseline: 2.25x 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 225% of the Medicare baseline (a markup of 125%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $150 - $300 | 140% |
| Ambetter / Centene | $159 - $300 | 149% |
| UnitedHealthcare | $159 - $279 | 149% |
| Tricare | $159 | 149% |
| Humana | $159 | 149% |
| Aetna | $159 - $300 | 149% |
| Cigna | $240 | 225% |
| Mulitplan-All Plans | $276 | 258% |
| Health Partners-All Plans | $276 | 258% |
Consumer Guidance & Cost Commentary
For the Ultrasound, abdomen (complete) procedure at Wilson Medical Center in Neodesha, KS, the facility's cash median rate of $225.00 is notably higher than the state average of $175.00. While commercial insurance plans like Blue Cross Blue Shield and Aetna negotiate rates ranging from $150 to $300, patients with high-deductible plans may find the cash price more affordable if their insurer's negotiated rate exceeds $225.00. It is important to note that this facility is a Critical Access Hospital with government local ownership, and while the data does not provide a specific facility rating, patients should always verify their specific plan details before scheduling to ensure they understand their out-of-pocket responsibilities.
To avoid unexpected costs, consumers should request a prompt-pay discount if paying in full upfront, which can significantly reduce the final bill compared to the standard cash median. Additionally, patients should insist on an itemized billing audit rather than accepting a summary bill, as over 80% of hospital invoices contain errors such as unbundled codes or charges for services not rendered. Since Medicare rates for this service are set at $106.81, commercial rates are often marked up significantly above this federal baseline; therefore, comparing your allowed amount directly to the Medicare rate provides a more accurate picture of fair pricing than looking at the facility's gross charges.