Ultrasound, abdomen (complete)
Facility: Amberwell Atchison Association
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $332
- Cash Discount Price: $737
- vs. Medicare Baseline: 3.11x 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 311% of the Medicare baseline (a markup of 211%). 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 | $144 - $152 | 135% |
| Va Ccn - All Plans | $243 | 228% |
| Humana | $243 - $332 | 228% |
| UnitedHealthcare | $243 - $1,322 | 228% |
| Superior Select Mcr Adv - All Plans | $243 | 228% |
| Triwest - All Plans | $243 | 228% |
| Ambetter / Centene | $377 | 353% |
| Cigna | $405 | 379% |
| Aetna | $405 | 379% |
| Oscar - All Plans | $553 | 518% |
| Centrus Health Direct - All Plans | $553 | 518% |
| Multiplan - All Plans | $575 | 538% |
| Wppa Providrs Care - All Plans | $663 | 621% |
Consumer Guidance & Cost Commentary
For the Ultrasound, abdomen (complete) procedure at Amberwell Atchison Association in Atchison, KS, the cash price is $737.00, which matches the facility's median negotiated rate of $332.00 and the cash median. This cash price is significantly higher than the Medicare benchmark of $106.81, indicating a markup of 3.1 times the federal rate. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance negotiated rates vary widely; for instance, UnitedHealthcare plans may pay up to $1,322, whereas Blue Cross Blue Shield plans pay as low as $144. If you have a high-deductible plan, paying the $737.00 cash price upfront might be more cost-effective than your insurance paying a negotiated rate that exceeds this amount, provided you have not yet met your deductible.
To ensure you are receiving the best possible rate, it is crucial to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Do not accept a summary bill as your final invoice; instead, demand a detailed statement showing specific CPT codes to identify any double-billing or unbundled charges. Additionally, ask the billing department about prompt-pay discounts, which can reduce the bill by 20% to 50% if paid in full within 30 days, effectively bypassing the administrative costs associated with insurance claims. Always verify your specific plan's allowed amount with the hospital before scheduling, as in-network rates are not uniform across all