Ultrasound, abdomen (complete)
Facility: Golden Valley Memorial Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $107
- Cash Discount Price: $825
- vs. Medicare Baseline: 1.00x 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 |
|---|---|---|
| Home State Health | $98 | 92% |
| UnitedHealthcare | $98 - $182 | 92% |
| Aetna | $107 | 100% |
| Humana | $107 | 100% |
| Ambetter / Centene | $128 | 120% |
Consumer Guidance & Cost Commentary
Golden Valley Memorial Hospital in Clinton, Missouri, is a government-owned acute care facility that performed an ultrasound of the abdomen (complete) with a cash median price of $825. This charge is significantly lower than the facility's gross rate of $1,375 and represents a substantial discount compared to the national average for this procedure. While the facility offers a negotiated rate of $107 for UnitedHealthcare members, commercial insurance rates vary widely among payers, ranging from $98 to $182 depending on the specific plan.
For patients with high-deductible plans, paying the cash price of $825 upfront may be more cost-effective than relying on insurance, as the negotiated rates for some carriers exceed the cash amount. Medicare reimburses for this procedure at $106.81, which serves as a benchmark for the true cost of care. It is important to note that the median paid rate is not available in the current data, and patients should verify their specific deductible status before scheduling to avoid unexpected out-of-pocket expenses.