Ultrasound, abdomen (complete)
Facility: Minneola District Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $163
- Cash Discount Price: $103
- vs. Medicare Baseline: 1.53x 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 |
|---|---|---|
| Va Community Care Program-All Plans | $36 - $137 | 34% |
| Humana | $36 - $137 | 34% |
| UnitedHealthcare | $36 - $205 | 34% |
| Medicaid / KanCare | $93 - $205 | 87% |
| Providrs Care Network-All Plans | $93 - $174 | 87% |
| Aetna | $93 - $205 | 87% |
| Blue Cross Blue Shield | $152 | 142% |
| Corporate Plan Management-All Plans | $174 | 163% |
| Preferred Health Care (Coventry)-All Other Plans | $184 | 172% |
| Triwest-All Plans | $184 | 172% |
| Health Partners Of Kansas-All Plans | $195 | 183% |
| Phc (Coventry) Leased Network | $195 | 183% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), the facility in Minneola, Kansas, has a cash median price of $103.00, which is lower than the state average of $148.00. While commercial insurance plans like UnitedHealthcare and Aetna have negotiated rates ranging from $93.00 to $205.00, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying out-of-pocket. It is important to note that the facility's negotiated rate of $163.00 is significantly higher than the Medicare benchmark of $106.81, suggesting a markup of 152% compared to the federal baseline. Patients should verify their specific plan's allowed amount before scheduling, as in-network rates vary widely among the 12 payers listed, with some plans paying as little as $36.00 and others up to $205.00.
To ensure you are receiving the most accurate pricing, request an itemized bill that details every CPT code and unit cost rather than accepting a summary invoice that may hide unbundled charges or services not rendered. If you choose to pay directly, ask about prompt-pay discounts, which can reduce the total cost by 20% to 50% if settled within 30 days, bypassing the administrative overhead associated with insurance claims. Be aware that while the No Surprises Act protects you from balance billing for emergency care at in-network facilities, unexpected charges can still occur if ancillary services like laboratory tests are billed by out-of-network providers. Always