Ultrasound, abdomen (complete)
Facility: Bob Wilson Memorial Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $965
- Cash Discount Price: $473
- vs. Medicare Baseline: 9.03x 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 903% of the Medicare baseline (a markup of 803%). 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 | $202 | 189% |
| Centura Employee Plan | $205 | 192% |
| Aetna | $378 - $945 | 354% |
| Humana | $378 | 354% |
| Medicare (plans) | $378 | 354% |
| UnitedHealthcare | $378 - $985 | 354% |
| Kansas Health | $378 | 354% |
| Multiplan | $1,063 - $1,099 | 995% |
| Health Partners Of Kansas | $1,111 | 1040% |
| Wppa | $1,123 | 1051% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), at Bob Wilson Memorial Hospital in Ulysses, KS, the facility's cash median rate is $473.00, which is significantly lower than the gross charge of $1,182.00. While the hospital is a Critical Access Hospital owned by a voluntary non-profit church, patients with high-deductible plans may find that paying cash directly is more cost-effective than using insurance, as the negotiated rates for commercial payers like Aetna and UnitedHealthcare range from $378 to $985. It is important to note that commercial negotiated rates often include administrative overhead and can exceed the cash price; therefore, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can further reduce the final amount owed.
When evaluating the cost against federal standards, the Medicare benchmark for this procedure is $106.81, which serves as the objective baseline for fair pricing. The facility's cash rate of $473.00 represents a markup of 9.0 times the Medicare amount, while the median negotiated rate of $965.00 reflects the typical commercial pricing structure where rates average 200% to 300% of Medicare. To ensure transparency and avoid unexpected costs, patients should request a full itemized billing audit rather than accepting a summary bill, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, under the No Surprises Act, patients are protected from balance billing for emergency care or non-emergency