CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Kell West Regional Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $274
  • Cash Discount Price: $407
  • vs. Medicare Baseline: 2.57x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Kell West Regional Hospital is $274. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $407. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.57x the Medicare baseline. Located in 5420 Kell West Boulevard, Wichita Falls, TX.
Cash / Self-Pay
$407

Average discount available for prompt cash payment at this facility.

Insurance Median
$274

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: $407 (381%)
Insurance Median: $274 (257%)
Cash: $407 (381% of Medicare)
Ins. Median: $274 (257% 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 257% of the Medicare baseline (a markup of 157%). 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
Aetna $87 - $100 81%
Blue Cross Blue Shield $98 - $325 92%
Medicare (plans) $98 92%
Humana $100 - $777 94%
Medadv_Uhc $100 94%
Tricare $107 100%
UnitedHealthcare $195 183%
Cigna $272 - $544 255%
Blue_Advantage_Bav $277 259%
Blue_Essentials $293 274%
Healthsmart_Ppo $544 509%
Phcs $583 546%
Self_Pay $622 582%
Multiplan $660 618%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5420 Kell West Boulevard, Wichita Falls, TX 76310
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals