Ultrasound, abdomen (complete)
Facility: Kingman Healthcare Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $93
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.87x 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 |
|---|---|---|
| Medicaid / KanCare | $93 | 87% |
| Healthy Blue | $93 | 87% |
| Aetna | $194 | 182% |
Consumer Guidance & Cost Commentary
For the CPT code 76700 (Ultrasound, abdomen), Kingman Healthcare Center in Kingman, KS, has a median negotiated rate of $93.00 across three payers, including Medicaid/KanCare and Healthy Blue. This rate is significantly lower than the facility's median paid amount of $327.00, which may reflect the specific insurance plans involved. While the facility is a Critical Access Hospital with a voluntary non-profit ownership, the data does not provide a cash price or a state/county average for comparison. Because cash prices are not listed, patients should verify if the facility offers a "self-pay" or "prompt-pay" discount before scheduling, as paying upfront can sometimes result in a lower total cost than the insurance negotiated rate, particularly for those with high-deductible plans.
The Medicare amount for this service is $106.81, which serves as a benchmark for the true cost of delivery. The median negotiated rate of $93.00 is below the Medicare amount, indicating a rate structure that is competitive relative to federal standards. Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it is crucial to request an itemized bill to ensure no unexpected charges exist. If a patient receives a summary bill, they should demand a full line-by-line statement to identify any errors, unbundled codes, or services not rendered, as over 80% of hospital bills contain discrepancies that can be resolved through a formal written audit dispute.