Ultrasound, abdomen (complete)
Facility: Oakleaf Surgical Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $104
- Cash Discount Price: $312
- vs. Medicare Baseline: 0.97x 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 |
|---|---|---|
| Blue Cross Blue Shield | $104 - $389 | 97% |
| Dean Health Plan | $104 | 97% |
| Group Health Cooperative Of Eau Claire | $104 | 97% |
| Healthpartners | $104 | 97% |
| Humana | $104 | 97% |
| Medica | $104 | 97% |
| Quartz Health Solutions | $104 | 97% |
| Security Health Plan Of Wi | $104 - $876 | 97% |
| Ucare Wi | $104 | 97% |
| UnitedHealthcare | $104 | 97% |
Consumer Guidance & Cost Commentary
For this Ultrasound, abdomen (complete) procedure at Oakleaf Surgical Hospital in Altoona, WI, the cash median price is $312. This facility, which is physician-owned, has a median negotiated rate of $104 and a median paid rate of $299. While the cash price is higher than the negotiated rate, patients with high-deductible plans may find the cash option more affordable if their insurance negotiated rate exceeds the cash price. It is important to verify "self-pay" or "prompt-pay" discounts directly with the hospital before scheduling, as these upfront incentives can significantly reduce the final bill.
The Medicare amount for this service is $106.81, which serves as a benchmark for the true cost of care. Commercial rates often include administrative overhead that inflates the baseline price, whereas Medicare rates reflect the provider's actual cost plus a small margin. Since the cash median of $312 is higher than the Medicare amount of $106.81, patients should be aware that paying with insurance might result in a lower out-of-pocket cost depending on their deductible status and the specific allowed amount set by their plan. Consumers are advised to request an itemized bill to avoid balance billing and to dispute any errors systematically before finalizing payment.