Ultrasound, abdomen (complete)
Facility: Mitchell County Hospital Health Systems
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $534
- Cash Discount Price: $553
- vs. Medicare Baseline: 5.00x 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 500% of the Medicare baseline (a markup of 400%). 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 | $107 - $691 | 100% |
| Blue Cross Blue Shield | $152 | 142% |
| Triwest Well Mark All Plans | $456 - $587 | 427% |
| First Health-All Plans | $483 - $622 | 452% |
| Pref Hlth Care Sytms Comm - All Plans | $483 - $622 | 452% |
| Aetna | $483 - $622 | 452% |
| Phc Leased Ntwrk Access - All Plans | $510 - $656 | 477% |
| Auxiant-All Plans | $510 - $656 | 477% |
| Multiplan Ppo - All Plans | $510 - $656 | 477% |
| Health Partners Ks-All Plans | $532 - $684 | 498% |
| Cigna | $532 - $684 | 498% |
Consumer Guidance & Cost Commentary
For the Ultrasound, abdomen (complete) procedure at Mitchell County Hospital Health Systems in Beloit, KS, the facility's cash median price of $553.00 is notably higher than the state average of $532.00 and the median negotiated rate of $534.00. While commercial payers like UnitedHealthcare and Blue Cross Blue Shield have negotiated rates ranging from $107 to $691, these figures often represent the maximum allowed amount rather than the actual cost to the patient. It is important to note that for patients with high-deductible plans who have not yet met their out-of-pocket threshold, paying the cash price of $553.00 upfront may be more cost-effective than relying on insurance, which could result in a higher out-of-pocket expense once the deductible is exhausted. Additionally, patients should inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if settled in full before or shortly after the service.
When evaluating the facility's pricing against federal standards, the Medicare amount for this service is $106.81, which serves as a critical benchmark for understanding the true cost of care. The facility's cash rate is approximately 5.0 times the Medicare amount, reflecting the typical markup found in commercial billing structures. Although the facility is a Critical Access Hospital owned by the local government, the wide variance in payer rates—ranging from a low of $107 to a high of $691 across 11 different plans—highlights the importance of verifying specific plan allowances before scheduling. To ensure you are