Ultrasound, abdomen (complete)
Facility: Lincoln County Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $152
- Cash Discount Price: $563
- vs. Medicare Baseline: 1.42x 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 |
|---|---|---|
| Blue Cross Blue Shield | $152 | 142% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, "Ultrasound, abdomen (complete)," Lincoln County Hospital lists a cash price of $563.00, which is lower than the facility's gross charge of $625.00. While the data does not provide a specific county or state average for this procedure, the facility's cash rate is notably lower than the median negotiated rate of $152.00 paid by Blue Cross Blue Shield, suggesting that paying out-of-pocket directly may result in a higher total cost for patients with high-deductible plans. However, patients should verify if the hospital offers a "prompt-pay" discount, as paying the full cash price upfront can sometimes bypass administrative fees and reduce the final amount owed.
It is important to understand that the $152.00 negotiated rate represents the maximum amount Blue Cross Blue Shield is contractually allowed to pay, not necessarily the final amount you will owe. If your insurance plan has not yet met your deductible, you may be responsible for the full negotiated amount, which exceeds the cash price. Additionally, under federal protections like the No Surprises Act, you are generally shielded from balance billing for out-of-network services at in-network facilities, but you should still request an itemized bill to ensure no unbundled charges or services not rendered are included. Always confirm your specific plan's deductible status and ask the billing department about any self-pay discounts before scheduling your appointment.