Ultrasound, abdomen (complete)
Facility: Decatur Health
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $268
- Cash Discount Price: $316
- vs. Medicare Baseline: 2.51x 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 251% of the Medicare baseline (a markup of 151%). 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 | $195 | 183% |
| Wppa/Providrs Care- All Plans | $211 | 198% |
| UnitedHealthcare | $214 - $268 | 200% |
| Humana | $216 | 202% |
| Midlands Choice- All Plans | $316 | 296% |
| Aetna | $316 - $351 | 296% |
| Medicaid / KanCare | $355 | 332% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), Decatur Health in Oberlin, KS, lists a cash median price of $316.00, which is notably lower than the facility's gross charge of $351.00. While the facility's negotiated rates with major payers like UnitedHealthcare and Aetna range from $214 to $351, the cash price can be a more economical option for patients with high-deductible plans or those without insurance, as it avoids the administrative markup inherent in insurance billing cycles. It is important to note that commercial negotiated rates often exceed cash prices due to the costs of claims processing and contract management, so patients should verify their specific plan's allowed amount before scheduling to ensure they are not paying more than necessary.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, unexpected charges can still arise from ancillary services or if a patient inadvertently accepts a summary bill that obscures individual line items. To minimize costs, consumers are encouraged to request a full itemized CPT-coded bill before negotiating and to explicitly ask about "self-pay" or "prompt-pay" discounts, which can reduce the final amount by 20% to 50% if paid in full upfront. Since over 80% of hospital bills contain errors, disputing any discrepancies in writing with the billing supervisor is a critical step in ensuring the final invoice accurately reflects the services rendered.