Ultrasound, abdomen at Pali Momi Medical Center. CPT 76700.
What Pali Momi Medical Center publishes for this service, straight from its standard-charges file, last updated February 12, 2026.
Outpatient / ER
$501cash price (self-pay)
$835list price
$64.94–$710range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blended Rate UHC | All Products | $64.94 |
| Hmsa | Quest Abd | $64.94 |
| UHC | All Products | $64.94 |
| Hmsa | Quest Non-Abd | $70.56 |
| Alohacare | Abd - Pediatric | $79.28 |
| Alohacare | Abd - Adult | $79.28 |
| Ohana | Quest - Abd | $81.59 |
| Alohacare | Medicare Advantage | $104 |
| Hmsa | Medicare Advantage | $104 |
| Mdx | Humana Medicare | $104 |
| Mdx | UHC Medicare | $104 |
| Ohana | Medicare Advantage | $108 |
| Devoted | Medicare Advantage | $109 |
| Mdx | All Products | $116 |
| Ohana | Quest - Non-Abd | $126 |
| Hmsa | All Products | $132 |
| Alohacare | Non-Abd - Adult | $139 |
| Alohacare | Non-Abd - Pediatric | $139 |
| Pac Admin | All Products | $176 |
| Uha | All Products | $200 |
| Hwmg/Hmaa | All Products | $202 |
| Hcha | All Products | $329 |
| Verdegard | Union Trust Fund | $329 |
| Calvos | Select Care | $626 |
| Mimoh | All Products | $626 |
| Kaiser | All Products | $668 |
| Coventry | All Products | $710 |
| Mccp | All Products | $710 |
| Multiplan | All Products | $710 |
Inpatient
$501cash price (self-pay)
$835list price
$626–$710range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Multiplan | All Products | $668 |
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