Ultrasound, abdomen (complete)
Facility: Republic County Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $883
- Cash Discount Price: $720
- vs. Medicare Baseline: 8.27x 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 827% of the Medicare baseline (a markup of 727%). 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 |
|---|---|---|
| Rural Carriers-All Plans | $816 | 764% |
| Meritain-All Plans | $864 | 809% |
| Aetna | $864 | 809% |
| UnitedHealthcare | $883 | 827% |
| First Health-All Plans | $912 | 854% |
| Midlands Choice-All Plans | $912 | 854% |
| Cigna | $912 | 854% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), Republic County Hospital in Belleville, KS, has a gross charge of $960.00. The facility's cash median rate is $720.00, which is lower than the median negotiated rate of $883.00 paid by insurance carriers such as Aetna, UnitedHealthcare, and Cigna. This price transparency data indicates that paying cash directly can result in significant savings compared to insurance reimbursement, particularly for patients with high-deductible plans where the negotiated rate might exceed the cash price. Since this facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should inquire about self-pay or prompt-pay discounts before scheduling to ensure they are not billed the full chargemaster amount.
The Medicare benchmark for this service is $106.81, which serves as a baseline for evaluating the facility's pricing markup. While the data does not provide specific county or state average comparisons for this procedure, the substantial difference between the Medicare rate and the commercial negotiated rates highlights the typical administrative and contractual markups inherent in the healthcare system. Patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, though it is important to verify network status and request an itemized bill to identify any unbundled codes or services not rendered.