Ultrasound, abdomen (complete)
Facility: Scott County Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $688
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 6.44x 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 644% of the Medicare baseline (a markup of 544%). 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 | $60 - $726 | 56% |
| Blue Cross Blue Shield | $152 | 142% |
| Humana | $321 | 301% |
| Wppa | $458 - $1,200 | 429% |
| Aetna | $688 | 644% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, representing a complete abdominal ultrasound, Scott County Hospital in Scott City, KS, has a gross charge of $764.00. While the facility's negotiated rates range from $152 to $1,200 depending on the insurance carrier, the median negotiated amount is $688.00. It is important to note that cash payments can sometimes be more cost-effective for patients with high-deductible plans, as the cash median is not listed here but could be lower than the insurance negotiated rate. Patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which often provide a fee reduction of 20% to 50% for upfront payment, bypassing the administrative costs associated with insurance billing cycles.
This procedure's pricing is evaluated against federal benchmarks to ensure transparency. The Medicare amount for this service is $106.81, and the facility's pricing is 6.4 times the Medicare rate. While specific state or county average comparisons were not provided in the data, the facility operates as a Critical Access Hospital with a voluntary non-profit ownership structure. Consumers should be aware that commercial negotiated rates often include administrative overhead and can exceed fair pricing benchmarks; therefore, verifying the exact allowed amount with your specific insurance plan before scheduling is essential to avoid unexpected costs. If you receive a bill that seems inconsistent with these rates, request an itemized audit to identify any errors or unbundled charges before making a payment.