Ultrasound, abdomen (complete)
Facility: Physicians Care Surgical Hospital
Billing Code: 76700 (CPT)
- CPT Billing Code: 76700
- Insurance Median: $405
- Cash Discount Price: $300
- vs. Medicare Baseline: 3.79x 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 379% of the Medicare baseline (a markup of 279%). 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 |
|---|---|---|
| Connecticare | $124 | 116% |
| Highmark | $194 | 182% |
| Blue Cross Blue Shield | $194 - $405 | 182% |
| Humana | $375 | 351% |
| Devon Health Services | $375 | 351% |
| UnitedHealthcare | $375 - $795 | 351% |
| Gpm Health and Life Insurance Mc Supplement | $375 | 351% |
| Keystone 65 HMO | $375 | 351% |
| Aetna | $375 - $486 | 351% |
| Tricare | $375 | 351% |
| Personal Choice 65 | $375 | 351% |
| Unified Health Services | $375 | 351% |
| Pcsh Aarp | $375 | 351% |
| Ibc Security 65 | $375 | 351% |
| Aarp | $375 | 351% |
| Vibra Health Plan | $375 | 351% |
| Shenandoah Life | $375 | 351% |
| Cigna | $375 | 351% |
| Medicare (plans) | $375 | 351% |
| Personal Choice | $405 | 379% |
| Independence Federal | $405 | 379% |
| Amerihealth Administrators | $405 | 379% |
| Keystone HMO | $405 | 379% |
| Ibc - Local | $405 | 379% |
| Horizon of New Jersey | $405 | 379% |
| Independence Administrators | $405 | 379% |
| Amerihealth New Jersey HMO | $405 | 379% |
| Pcsh Ibc | $405 | 379% |
| Carefirst Administrators | $405 | 379% |
| Empire Plan | $405 | 379% |
| Regence Blue Shield | $405 | 379% |
| Independence Bc | $405 | 379% |
| Ibc | $405 | 379% |
| Ibc 2021 | $405 | 379% |
| Ibc Local | $405 | 379% |
| Keystone Direct POS | $405 | 379% |
| Keystone Healthplan East | $405 | 379% |
| Allied Benefits Systems | $486 | 455% |
| Healthez | $486 | 455% |
| Lucent Health | $486 | 455% |
| Coventry | $486 | 455% |
| Meritain Health | $486 | 455% |
| Ag Administrators | $486 | 455% |
| Premier Care Network | $486 | 455% |
| Allied Benefit Systems | $486 | 455% |
| Marpai Health | $486 | 455% |
| Geha | $486 | 455% |
| Trustmark | $486 | 455% |
| Continental Benefits | $486 | 455% |
| Ag Administrators Inc | $486 | 455% |
| Golden Rule Op | $795 | 744% |
| Oxford Health Plan | $795 | 744% |
| Allsavers | $795 | 744% |
| Oxford Life Insurance Company | $795 | 744% |
| Surest | $795 | 744% |