Ultrasound, abdomen (complete)
Facility: Phillips County Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $357
- Cash Discount Price: $336
- vs. Medicare Baseline: 3.34x 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 334% of the Medicare baseline (a markup of 234%). 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 | $152 - $320 | 142% |
| UnitedHealthcare | $316 - $395 | 296% |
| Health Partners-All Plans | $395 | 370% |
| Medicaid / KanCare | $395 | 370% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), the facility Phillips County Hospital in Phillipsburg, KS, has a cash median price of $336.00, which is lower than the state average of $395.00. While the facility's negotiated rates with major payers like Blue Cross Blue Shield and UnitedHealthcare range from $152 to $395, patients should be aware that cash payments can sometimes be more cost-effective. If you have a high-deductible plan where your deductible has not yet been met, paying the cash price of $336.00 upfront may result in a lower total out-of-pocket cost compared to your insurance paying a negotiated rate that you then must cover with your deductible. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling your appointment.
The Medicare benchmark for this service is $106.81, which serves as a baseline for evaluating the facility's pricing structure. The facility's cash price is approximately 315% of the Medicare amount, while the median negotiated rate is about 333% of the Medicare amount. Although these figures are significantly higher than the Medicare rate, they reflect the standard administrative costs and contract dynamics inherent in commercial insurance billing. If you receive a bill that exceeds these negotiated amounts, you may be subject to balance billing if you are out-of-network, though the No Surprises Act protects you from such surprise bills for emergency care and non-emergency services at in-network facilities. To ensure accuracy, always request a full itemized bill before paying, as summary bills often obscure individual