Ultrasound, abdomen (complete)
Facility: Clay County Medical Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $71
- Cash Discount Price: $393
- vs. Medicare Baseline: 0.66x 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 |
|---|---|---|
| Multiplan- All Plans | $38 - $676 | 36% |
| UnitedHealthcare | $48 - $676 | 45% |
| Wppa/Providrs Care- All Plans | $69 - $662 | 65% |
| Aetna | $69 - $662 | 65% |
| Health Partners - All Plans | $71 - $676 | 66% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, representing a complete abdominal ultrasound at Clay County Medical Center in Clay Center, KS, the cash median price is $393.00, which matches the facility's gross charge. This cash rate is significantly higher than the state average for this service, where the median paid amount is $142.00. While commercial insurance plans like UnitedHealthcare and Aetna negotiate rates ranging from $48 to $676, these negotiated amounts often exceed the cash price. Patients with high-deductible plans may find it more cost-effective to pay the $393.00 cash rate directly, as doing so avoids the administrative overhead and potential higher negotiated fees that insurance carriers charge for this specific procedure.
To minimize costs, it is advisable 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 upfront. Additionally, comparing the facility's pricing to the Medicare benchmark provides a clear view of the markup; the Medicare amount for this service is $106.81, and the facility's negotiated rates are often substantially higher than this federal baseline. Since the facility is a Critical Access Hospital with government-local ownership, patients should verify their specific plan details before scheduling to ensure they understand their out-of-pocket responsibilities and avoid unexpected balance billing, which is largely prohibited for non-emergency services at in-network facilities under federal law.