Ultrasound, abdomen (complete)
Facility: Cloud County Health Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $1,599
- Cash Discount Price: $1,178
- vs. Medicare Baseline: 14.97x 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 1497% of the Medicare baseline (a markup of 1397%). 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 |
|---|---|---|
| Aetna | $1,515 - $1,565 | 1418% |
| Health Partners - All Plans | $1,599 | 1497% |
| Mpi-All Plans | $1,599 | 1497% |
| Pponext-All Plans | $1,599 | 1497% |
Consumer Guidance & Cost Commentary
For this ultrasound procedure at Cloud County Health Center in Concordia, KS, the facility's negotiated rates range from $1,515 to $1,599, which aligns closely with the median paid amount of $1,599 across four payers. While the cash price is significantly lower at $1,178, commercial insurance contracts often result in higher out-of-pocket costs for patients with high deductibles, as the negotiated ceiling protects in-network members but includes administrative overhead. It is important to note that the facility's negotiated rate is 15% higher than the Medicare benchmark of $106.81, illustrating how commercial rates can exceed the federal baseline. Patients should verify their specific plan's deductible status before scheduling, as paying the full negotiated amount may be necessary if the deductible has not yet been met.
To potentially lower costs, we recommend asking the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total bill by 20% to 50% for upfront payment. Since hospitals often bypass costly claims processing for cash transactions, paying directly can sometimes be cheaper than the insurance negotiated rate, particularly if your plan has a high deductible. Additionally, ensure you receive a detailed, itemized bill rather than a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be disputed. If you receive a balance bill from an out-of-network provider, you may be protected under the No Surprises Act, which bans surprise billing for emergency and non-emergency services at in-network facilities.