Ultrasound, abdomen (complete)
Facility: Children'S Mercy South
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $84
- Cash Discount Price: $438
- vs. Medicare Baseline: 0.79x 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 |
|---|---|---|
| UnitedHealthcare | $32 - $1,148 | 30% |
| Healthy Blue | $35 - $273 | 33% |
| Medicaid / KanCare | $36 - $70 | 34% |
| Cigna | $37 - $1,188 | 35% |
| Home State Health | $37 - $240 | 35% |
| Wppa Providrs Care | $49 - $1,111 | 46% |
| Healthlink | $50 - $1,504 | 47% |
| Health Midwest Comprehensive Care | $52 - $1,113 | 49% |
| American Healthcare Alliance | $54 - $1,453 | 51% |
| Quiktrip | $57 - $1,113 | 53% |
| Blue Cross Blue Shield | $59 - $1,265 | 55% |
| Medica | $66 - $996 | 62% |
| Wellfit/Centrus | $72 - $1,111 | 67% |
| Multiplan | $72 - $1,299 | 67% |
| Aetna | $73 - $1,162 | 68% |
| Humana | $74 - $1,136 | 69% |
| Centivo | $74 - $1,111 | 69% |
| Orscheln | $75 - $1,111 | 70% |
| Nebraska Furniture Mart | $77 - $1,111 | 72% |
| Mercy Health | $83 - $1,282 | 78% |
| Coxhealth Network | $84 - $1,265 | 79% |
| Coventry Health Care Of Kansas | $92 - $1,265 | 86% |
| National Preferred Provider Network | $100 - $1,538 | 94% |
Consumer Guidance & Cost Commentary
For the CPT code 76700, Ultrasound, abdomen (complete), Children's Mercy South in Overland Park, KS, has a cash price of $438.00 and a negotiated rate of $84.00. This negotiated rate is significantly lower than the facility's gross charge of $912.00, reflecting the standard insurance contract structure where rates are capped to protect in-network members. However, patients should be aware that commercial negotiated rates often include administrative overhead and can sometimes exceed the cash price, particularly for those with high-deductible plans who may not yet have met their out-of-pocket maximum. In such cases, paying the cash price of $438.00 directly could result in lower total costs compared to the insurance negotiated rate, provided the patient's plan covers the service.
The facility's pricing is benchmarked against the Medicare rate of $106.81, which serves as a federal cost baseline. While the negotiated rate of $84.00 is lower than the cash price, it is important to note that commercial rates often range from 200% to 300% of Medicare, whereas fair pricing is typically defined as 120% to 150%. Patients are encouraged to verify their specific plan details before scheduling, as assuming in-network status guarantees the lowest possible price can be misleading, as different insurers negotiate varying rates. Additionally, patients should inquire about "self-pay" or "prompt-pay" discounts before check-in, as hospitals often offer fee reductions for upfront payments that bypass the costly insurance billing cycle and administrative processing.