Ultrasound, abdomen (complete)
Facility: Centura St. Catherine-Dodge City
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $1,003
- Cash Discount Price: $610
- vs. Medicare Baseline: 9.39x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 939% of the Medicare baseline (a markup of 839%). 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.
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 | $68 - $178 | 64% |
| Humana | $68 | 64% |
| Aetna | $68 - $1,219 | 64% |
| Medicare (plans) | $68 | 64% |
| Kansas Health | $68 | 64% |
| Cigna | $68 | 64% |
| Kaiser | $68 | 64% |
| Centura Employee Plan | $205 | 192% |
| UnitedHealthcare | $1,003 | 939% |
| Wpaa | $1,067 | 999% |
| Christian Health Aid | $1,219 | 1141% |
| Multiplan | $1,219 - $1,371 | 1141% |
| Health Partners Of Kansas | $1,371 | 1284% |
Consumer Guidance & Cost Commentary
The gross charge for this ultrasound procedure at Centura St. Catherine-Dodge City is listed at $1,524, which is significantly higher than the median cash price of $610. While the facility's negotiated rate is $1,003, the Medicare benchmark of $106.81 serves as a critical baseline for understanding the markup inherent in commercial billing. It is important to note that while the facility is a Proprietary Acute Care Hospital in Dodge City, KS, the data provided does not include specific state or county average comparisons for this procedure, so the most meaningful context available is the stark difference between the facility's gross charge and the actual cash-pay or negotiated rates.
For patients, the most financially favorable option is the cash median price of $610, which is notably lower than the median negotiated rate of $1,003 paid by insurers. This price gap highlights a potential opportunity for savings, particularly for those with high-deductible plans where the cash price may be lower than the insurance allowed amount. Patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid upfront, effectively bypassing the administrative costs associated with insurance claims processing. Additionally, if you have insurance, verify your deductible status before scheduling, as paying the full negotiated rate of $1,003 may not be covered until that threshold is met.