Ultrasound, abdomen (complete)
Facility: Neosho Memorial Regional Medical Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $166
- Cash Discount Price: $390
- vs. Medicare Baseline: 1.55x 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 | $60 | 56% |
| Tricare | $160 | 150% |
| Humana | $166 | 155% |
| Blue Cross Blue Shield | $166 - $167 | 155% |
| Va_Ccn | $166 | 155% |
| Medadv_Uhc | $166 | 155% |
| Medicare (plans) | $166 | 155% |
| Aetna | $166 | 155% |
| Medadv_Allwell | $166 | 155% |
| Ambetter / Centene | $262 | 245% |
| Wppa_Providrscare | $432 | 404% |
| United | $433 | 405% |
| Cigna | $494 | 463% |
| Coventry | $494 | 463% |
| Hpk | $494 | 463% |
Consumer Guidance & Cost Commentary
For the ultrasound procedure "Ultrasound, abdomen (complete)" at Neosho Memorial Regional Medical Center, the facility's cash price of $390.00 is lower than the median negotiated rate of $166.00 paid by most commercial payers, though this comparison highlights that insurance contracts often result in higher net costs for patients due to deductibles and copays. The facility's cash rate is also significantly lower than the gross chargemaster of $520.00, but patients should note that commercial rates can sometimes exceed cash prices depending on individual plan deductibles; therefore, self-pay or prompt-pay discounts should be requested directly from the hospital before scheduling to ensure the lowest possible out-of-pocket cost.
Pricing transparency data for this service indicates that the facility's negotiated rates align closely with the median allowed amount of $166.00 across 15 different payers, while the Medicare benchmark of $106.81 serves as the objective baseline for evaluating fair pricing. Although the facility is a Critical Access Hospital in Chanute, KS, with a government-local ownership structure, patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act. To avoid unexpected charges, consumers should request an itemized bill to verify that all services rendered are accurately coded and that no unbundled charges or services not delivered have been included in the final invoice.