Ultrasound, abdomen at Good Samaritan Hospital. CPT 76700.
What Good Samaritan Hospital publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$3,629cash price (self-pay)
$5,345list price
$71.67–$7,061range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Santa Clara Family Health Plan | Medicaid | $71.67 |
| Physicians Medical Group | MCD | $82.35 |
| Anthem | Medi-Cal | $90.59 |
| Physician Health Network | MGMCD | $90.59 |
| Cigna | HMO | $156 |
| Cigna | LocalPlus | $156 |
| Cigna | POS | $156 |
| Cigna | PPO | $156 |
| United | AllPayerAppendix | $245 |
| Anthem | ExchangeEPO | $406 |
| Anthem | BlueConnection | $428 |
| Anthem | COMM | $428 |
| MedCare Partners | MGMCR | $802 |
| Blue Shield | COMM | $845 |
| Blue Shield | EPN | $845 |
| United | OptionsPPO | $1,363 |
| United | GlobalBenefitPlan | $2,405 |
| NX Health Network | COMM | $3,207 |
| Sutter Select | COMM | $3,207 |
| MultiPlan | Primary | $3,474 |
| ChoiceCare Humana | COMM | $3,742 |
| First Health | COMM | $4,062 |
| Cigna BH | COMMBH | $4,276 |
| HealthSmart | WCOMP | $4,276 |
| Intercontinental Corporation | COMM | $4,276 |
| MultiPlan | Complementary | $4,276 |
| PHA Pacific Health Alliance | COMM | $4,276 |
| PPO Next | COMM | $4,276 |
| PPO Next | PPO | $4,276 |
| HealthSmart | COMM | $4,543 |
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