Ultrasound, abdomen (complete)
Facility: Hospital District #6 Patterson Health Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $360
- Cash Discount Price: $320
- vs. Medicare Baseline: 3.37x 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 337% of the Medicare baseline (a markup of 237%). 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 | $142 - $150 | 133% |
| UnitedHealthcare | $360 - $400 | 337% |
| Providers Care (Wppa)-All Plans | $700 | 655% |
Consumer Guidance & Cost Commentary
For the ultrasound of the abdomen (complete) at the Hospital District #6 Patterson Health Center in Anthony, KS, the cash median price is $320.00, which is lower than the median negotiated rate of $360.00. This facility, a Critical Access Hospital owned by the government, has a Medicare benchmark of $106.81, meaning commercial rates typically range from 200% to 300% of this federal baseline. While the data provided does not include specific state or county average figures for comparison, patients should note that paying cash upfront can often be more cost-effective than using insurance, especially if their plan has a high deductible or if the negotiated rate exceeds the cash price.
To minimize costs, patients are encouraged to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid in full before or shortly after the service. Since the facility is a government hospital district, it may offer unique financial assistance options not available at private providers. If you have insurance, verify your deductible status before scheduling, as you may still be responsible for the full negotiated amount if you have not yet met your out-of-pocket threshold. Always request an itemized bill to ensure all charges are accurate and avoid unexpected balance billing, though the No Surprises Act protects you from such surprises for emergency care and non-emergency services at in-network facilities.