Ultrasound, abdomen (complete)
Facility: Regional Medical Center
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $870
- Cash Discount Price: $705
- vs. Medicare Baseline: 8.15x 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 815% of the Medicare baseline (a markup of 715%). 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 |
|---|---|---|
| Medical Associates Health Plan - Tri | $870 | 815% |
Consumer Guidance & Cost Commentary
Regional Medical Center in Manchester, Iowa, lists a cash price of $705 for an Ultrasound, abdomen (complete). This cash rate is lower than the facility's gross charge of $882, though it remains higher than the median negotiated rate of $870 paid by Medical Associates Health Plan - Tri. For patients with high-deductible plans or those without insurance, paying the cash price of $705 upfront may be more cost-effective than utilizing insurance, which would typically result in a higher allowed amount of $870. It is important to note that the facility is a Critical Access Hospital with a government-local ownership structure and holds a 4-star rating.
When comparing this service to the broader market, the cash price of $705 is significantly lower than the median negotiated rate of $870, which represents the standard commercial billing amount. The Medicare benchmark for this procedure is $106.81, highlighting that commercial rates often exceed the federal baseline by a substantial margin. Patients should verify if "self-pay" or "prompt-pay" discounts are available before scheduling, as paying in full at the time of service can sometimes bypass administrative fees associated with insurance claims. Additionally, since this facility has only one payer in its network, there is limited variation in negotiated rates for this specific service.