Ultrasound, abdomen (complete)
Facility: Trego County Lemke Memorial Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $207
- Cash Discount Price: $225
- vs. Medicare Baseline: 1.94x 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.
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 |
|---|---|---|
| Humana | $130 | 122% |
| Tricare | $140 | 131% |
| Aetna | $164 - $238 | 154% |
| Medicaid / KanCare | $164 - $265 | 154% |
| Va Ccn - All Plans | $164 | 154% |
| UnitedHealthcare | $164 - $265 | 154% |
| Ambetter / Centene | $181 | 169% |
| Blue Cross Blue Shield | $207 | 194% |
| Health Partners - All Plans | $252 | 236% |
| Healthy Blue Mcaid - All Plans | $265 | 248% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), Trego County Lemke Memorial Hospital in Wakeeney, KS, has a gross charge of $265.00. The facility's cash median price is $225.00, which is lower than the state average of $265.00. While the facility is a Critical Access Hospital with government local ownership, patients should note that commercial negotiated rates vary significantly; for example, UnitedHealthcare and Medicaid/KanCare plans have negotiated ranges extending up to the gross charge of $265.00, whereas some plans like Humana and Tricare have fixed negotiated rates of $130.00 and $140.00 respectively. This variation highlights that in-network coverage does not guarantee the lowest possible price, as administrative costs and contract dynamics can inflate the allowed amount above the cash-pay rate.
Patients should be aware that balance billing can occur if a provider bills the difference between their full chargemaster rate and the insurance allowed amount, though the No Surprises Act protects emergency and non-emergency services at in-network facilities from such surprise bills. To minimize costs, consumers should request an itemized billing audit to verify that all charges are accurate and that no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors. Additionally, since prompt-pay discounts typically range from 20% to 50% for upfront payment, patients should explicitly ask the hospital for self-pay or prompt-pay rates before scheduling, as these discounts often bypass the higher administrative costs associated with insurance claims processing.