Ultrasound, abdomen (complete)
Facility: Hodgeman County Health Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $360
- Cash Discount Price: $409
- vs. Medicare Baseline: 3.37x 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 337% of the Medicare baseline (a markup of 237%). 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 | $144 - $152 | 135% |
| Humana | $327 | 306% |
| Triwest - All Plans | $327 | 306% |
| Medicaid / KanCare | $327 - $511 | 306% |
| UnitedHealthcare | $327 - $485 | 306% |
| Aetna | $409 | 383% |
| First Health - All Plans | $460 | 431% |
| Health Partners - All Plans | $485 | 454% |
| Wppa (Provdrscare) - All Plans | $485 | 454% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), the Hodgeman County Health Center in Jetmore, KS, lists a cash median price of $409.00, which is notably lower than the facility's gross charge of $511.00. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that commercial insurance negotiated rates often exceed cash prices due to administrative overhead and contract structures. For instance, UnitedHealthcare and Medicaid/KanCare have negotiated ranges extending up to $485 and $511 respectively, meaning paying out-of-pocket could result in significant savings compared to using insurance for this specific service.
The Medicare benchmark for this procedure is $106.81, serving as a baseline to evaluate pricing fairness; commercial rates are frequently higher than this federal standard due to the inclusion of practice expenses and malpractice insurance. Although the facility reports a median negotiated payment of $384.00, patients should verify their specific plan's deductible status before scheduling, as high deductibles can lead to unexpected out-of-pocket costs. To maximize savings, it is recommended to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can reduce the final bill by 20% to 50% if paid in full upfront, bypassing the costly insurance claims processing cycle.