Ultrasound, abdomen (complete)
Facility: Community Memorial Healthcare, Inc.
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $268
- Cash Discount Price: $519
- vs. Medicare Baseline: 2.51x 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 251% of the Medicare baseline (a markup of 151%). 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 | 142% |
| Aetna | $239 - $389 | 224% |
| UnitedHealthcare | $297 | 278% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, representing a complete ultrasound of the abdomen, Community Memorial Healthcare, Inc. in Marysville, KS, lists a cash median price of $519.00. This cash rate is identical to the facility's gross charge and significantly higher than the state average, which is approximately $104.00. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that paying cash upfront can sometimes be more cost-effective than using insurance if their plan's negotiated rate exceeds the cash price. Given that the median negotiated rate across payers is $268.00, a patient with a high deductible might find it beneficial to pay the cash price directly, provided they confirm the facility offers a self-pay or prompt-pay discount before scheduling.
Insurance coverage for this service varies by payer, with Blue Cross Blue Shield, UnitedHealthcare, and Aetna having negotiated rates ranging from $152 to $389. However, the actual amount paid to the facility via insurance is much lower, with a median paid amount of $104.00, which is roughly 20% of the cash price. This disparity highlights the importance of understanding that in-network rates are often inflated by administrative costs and contract dynamics, whereas the Medicare benchmark of $106.81 serves as a scientifically validated baseline for the true cost of care. To ensure you are not overcharged, it is recommended to request a full itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be corrected through a formal written