Ultrasound, abdomen (complete)
Facility: Goodland Regional Medical Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $690
- Cash Discount Price: $690
- vs. Medicare Baseline: 6.46x 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 646% of the Medicare baseline (a markup of 546%). 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% |
| Wppa | $652 - $690 | 610% |
| UnitedHealthcare | $690 | 646% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, "Ultrasound, abdomen (complete)," Goodland Regional Medical Center in Goodland, KS, lists a cash median price of $690.00 and a median negotiated rate of $690.00. This facility, a Critical Access Hospital owned by the local government, has a facility rating of 2. The data indicates that the cash price aligns with the negotiated rates for payers including Wppa and UnitedHealthcare, though specific negotiated amounts vary by plan within those networks. While the report does not provide explicit state or county average figures for this specific code, the facility's cash price of $690.00 is notably higher than the Medicare benchmark of $106.81, reflecting the typical markup structure in commercial billing.
Patients should be aware that while in-network insurance contracts set a ceiling on what insurers will pay, the actual amount you owe depends on your deductible status and the specific plan's negotiated rate. If your insurance has not yet met your deductible, you may be responsible for the full negotiated amount, which in this case matches the cash price. However, if your plan's negotiated rate exceeds the cash price, paying out-of-pocket could result in lower costs. It is advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can further reduce the bill. Additionally, since the facility is an in-network provider, the No Surprises Act generally protects you from balance billing for out-of-network services at this location, though you should always request an itemized bill to verify all charges before payment.