Ultrasound, abdomen (complete)
Facility: St Luke Hospital & Living Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $335
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 3.14x 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 314% of the Medicare baseline (a markup of 214%). 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 |
|---|---|---|
| UnitedHealthcare | $335 | 314% |
| Blue Cross Blue Shield | $335 | 314% |
| Humana | $335 | 314% |
| Va Ccn | $335 | 314% |
| Bluestem Pace | $335 | 314% |
| Kansas Department Of Health And Environment | $335 | 314% |
| Ambetter / Centene | $338 | 316% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, "Ultrasound, abdomen (complete)," St Luke Hospital & Living Center in Marion, KS, has a gross charge of $656.00. While the facility's negotiated rates with major payers like UnitedHealthcare and Blue Cross Blue Shield are set at $335, this amount is significantly higher than the cash price, which is not listed in the data. It is important to note that cash-pay options can sometimes result in lower out-of-pocket costs for patients with high-deductible plans, provided the insurance negotiated rate exceeds the cash price. Additionally, patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts, as paying in full upfront can often reduce the final bill by 20% to 50% by bypassing administrative claim processing fees.
This service is provided at a Critical Access Hospital, and the facility is owned by a Government Hospital District or Authority. The Medicare benchmark for this procedure is $106.81, which serves as a baseline for evaluating pricing; commercial negotiated rates often range from 200% to 300% of this amount, though fair pricing is typically defined as 120% to 150%. If the facility's negotiated rate of $335 is compared to the state or county averages, it is essential to understand that these averages are often derived from summary bills that may obscure individual line items. To ensure accuracy, patients should request a full itemized CPT-coded bill to identify any errors, double-billing, or unbundled codes, as over 80% of hospital bills contain mistakes that can be corrected through a