Ultrasound, abdomen at Dodge County Hospital Authority. CPT 76700.
What Dodge County Hospital Authority publishes for this service, straight from its standard-charges file, last updated May 14, 2026.
Outpatient / ER
—cash price (self-pay)
$1,587list price
$1.00–$1,428range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| UHC Commercial | PPO | $1.00 |
| Aetna Medicare Advantage | HMO | $91.17 |
| UHC Medicare Advantage | HMO | $91.17 |
| Humana Medicare PPO | PPO | $91.17 |
| BCBS Pathway/HMO | HMO | $216 |
| Peach State Medicaid | HMO | $247 |
| BCBS PPO/Par | PPO | $268 |
| Amerigroup Medicaid | PPO | $282 |
| Aetna | PPO | $1,190 |
| Cigna | PPO | $1,428 |
Inpatient
—cash price (self-pay)
$1,587list price
$1.00–$846range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cigna | PPO | $1.00 |
| UHC Commercial | PPO | $1.00 |
| Peach State Medicaid | HMO | $1.00 |
| BCBS PPO/Par | PPO | $658 |
| Amerigroup Medicaid | PPO | $846 |
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