Ultrasound, abdomen (complete)
Facility: Memorial Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $926
- Cash Discount Price: $1,683
- vs. Medicare Baseline: 8.67x 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 867% of the Medicare baseline (a markup of 767%). 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 | $160 | 150% |
| Humana | $841 | 787% |
| Tricare | $841 | 787% |
| Medicare (plans) | $850 | 796% |
| Ambetter / Centene | $926 | 867% |
| Coventry - All Other Plans | $1,515 | 1418% |
| Preferred Healthcare-All Plans | $1,599 | 1497% |
| Health Partners Of Kansas - All Plans | $1,599 | 1497% |
| Wppa/Providers Care-All Plans | $2,356 | 2206% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), Memorial Hospital in Abilene, KS, lists a cash price of $1,683.00, which matches the facility's median paid amount. This cash rate is significantly higher than the state average for this service, as indicated by the 8.7% variance compared to Medicare benchmarks. While commercial insurance plans like Blue Cross Blue Shield and Humana negotiate rates of $160 and $841 respectively, these figures often exceed the cash price for patients with high-deductible plans. In such cases, paying the cash rate directly can result in lower out-of-pocket costs than the insurance negotiated rate, provided the patient's deductible has been met.
Patients should verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront payment incentives can reduce the total cost by bypassing administrative billing cycles. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, unexpected ancillary charges or summary bills may still occur. To ensure accuracy, consumers should request a full itemized CPT-coded bill rather than accepting a summary invoice, and formally dispute any errors in writing to avoid overcharges or double-billing.