CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Nkc Health

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $262
  • Cash Discount Price: $550
  • vs. Medicare Baseline: 2.45x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Nkc Health is $262. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $550. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.45x the Medicare baseline. Located in 2800 Clay Edwards Drive, North Kansas City, MO.
Cash / Self-Pay
$550

Average discount available for prompt cash payment at this facility.

Insurance Median
$262

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $550 (515%)
Insurance Median: $262 (245%)
Cash: $550 (515% of Medicare)
Ins. Median: $262 (245% of 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 245% of the Medicare baseline (a markup of 145%). 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $74 - $1,275 69%
Ambetter / Centene $93 87%
UnitedHealthcare $105 - $115 98%
Humana $107 100%
Quiktrip $150 - $1,137 140%
Occunet Network $224 210%
Centrus Health Direct $236 - $277 221%
Wellfit $236 - $246 221%
Oscar $294 275%
Cigna $891 834%
Aetna $962 - $1,550 901%
Centivo $1,137 1065%
Multiplan $1,326 - $1,516 1241%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2800 Clay Edwards Drive, North Kansas City, MO 64116
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals