Ultrasound, abdomen (complete)
Facility: Osborne County Memorial Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $528
- Cash Discount Price: $496
- vs. Medicare Baseline: 4.94x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 494% of the Medicare baseline (a markup of 394%). 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 | $443 | 415% |
| Health Partners Of Kansas | $501 | 469% |
| Wppa | $554 | 519% |
| Blue Cross Blue Shield | $571 | 535% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, representing a complete abdominal ultrasound, Osborne County Memorial Hospital lists a cash median price of $496.00, which is lower than the facility's gross charge of $583.00. While the facility's negotiated rates with major payers like UnitedHealthcare and Blue Cross Blue Shield range from $443 to $571, patients with high-deductible plans may find paying the cash price directly more cost-effective, as the cash rate is often below the insurer's allowed amount. It is important to note that commercial negotiated rates frequently include administrative overhead and can exceed the true cost of care; therefore, comparing these rates to the Medicare benchmark of $106.81 reveals a significant markup, with fair pricing typically defined as 120% to 150% of the Medicare rate.
Before scheduling this service, patients should proactively request a "self-pay" or "prompt-pay" discount, which can reduce the total cost by 20% to 50% if paid in full upfront. This discount bypasses the costly insurance claims processing cycle, saving the facility administrative labor and bad debt risks. Additionally, if you receive a bill after using insurance, you should demand a full itemized audit rather than accepting a summary bill, as over 80% of hospital bills contain errors such as code unbundling or charges for services not rendered. If a balance bill arises from an out-of-network provider at this in-network facility, you have the right to dispute it under the No Surprises Act, which prohibits surprise billing for emergency and non-emergency services at in-network hospitals.