Ultrasound, abdomen (complete)
Facility: Girard Medical Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $289
- Cash Discount Price: $496
- vs. Medicare Baseline: 2.71x 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 271% of the Medicare baseline (a markup of 171%). 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 - $289 | 142% |
| Aetna | $289 - $1,447 | 271% |
| Medicare (plans) | $289 | 271% |
| Kansas Superior Select-All Plans | $289 | 271% |
| Ambetter / Centene | $289 | 271% |
| UnitedHealthcare | $289 - $786 | 271% |
| Humana | $289 | 271% |
| Multiplan-All Plans | $765 | 716% |
| Uhhis-All Plans | $786 | 736% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), at Girard Medical Center in Girard, KS, the facility's negotiated rates range from $289 to $786 depending on the insurance plan, with a median negotiated payment of $289. This rate is significantly higher than the Medicare benchmark of $106.81, reflecting the typical administrative markup and contract dynamics where commercial insurers pay substantially more than the federal government. While the facility is a Critical Access Hospital owned by a government authority, patients should be aware that cash payments can sometimes be more cost-effective. The cash median price is $496, which is notably higher than the negotiated rate of $289, suggesting that for many insured patients, using their insurance coverage results in a lower out-of-pocket cost compared to paying cash directly, provided the patient's deductible has been met.
To minimize costs, patients should proactively contact the hospital before scheduling to confirm the specific "self-pay" or "prompt-pay" discount rates available, as these upfront payment incentives can bypass standard insurance billing cycles and reduce administrative overhead. It is also important to request a detailed, itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be disputed. Finally, while the facility's location in Kansas does not provide specific county-level average data in this report, the significant variance between the Medicare rate and commercial negotiated rates highlights the importance of verifying allowed amounts with your specific insurance carrier to ensure you are not paying a rate higher than necessary for this service.