Ultrasound, abdomen at Southeast Iowa Regional Medical Center West Burlington. CPT 76700.
What Southeast Iowa Regional Medical Center West Burlington publishes for this service, straight from its standard-charges file, last updated June 11, 2026.
Outpatient / ER
—cash price (self-pay)
$194list price
$29.44–$1,007range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| American Healthplan of Iowa - Midlevel | MEDICARE ADV. | $44.58 |
| Medicaid - Nurse Practitioner | MANAGED MEDICAID | $44.99 |
| Medicaid - Physician Assistant | MANAGED MEDICAID | $45.96 |
| Aetna | FIRST HEALTH | $52.80 |
| Humana | MEDICARE ADV. | $54.95 |
| American Healthplan of Iowa - MD | MEDICARE ADV. | $58.16 |
| Immergrun | ALL PRODUCTS | $67.29 |
| Wellmark Blue Cross - Physician | HMO | $67.60 |
| Wellmark Blue Cross - Physician Assistant | HMO | $67.60 |
| Wellmark Blue Cross - Physician Assistant | PPO | $67.60 |
| Wellmark Blue Cross - Physician | PPO | $79.50 |
| 6 Degree | ALL PRODUCTS | $85.45 |
| Wellmark Blue Cross - Anesthesiology | PPO | $103 |
| Wellmark Blue Cross - Pathologist | PPO | $103 |
| Medicaid - Physician | MANAGED MEDICAID | $106 |
| United Healthcare | ALL PRODUCTS | $110 |
| Plain Church | ALL PRODUCTS | $121 |
| Midlands Choice | ALL PRODUCTS | $123 |
| Absolute Solutions | ALL PRODUCTS | $167 |
| First Agency | ALL PRODUCTS | $167 |
| Multiplan | ALL PRODUCTS | $167 |
| Henderson County | ALL PRODUCTS | $177 |
| Elap | Primary | $216 |
| Elap | Specialty | $247 |
| Elap | Anesthesia | $308 |
| Midlands Choice | All Products | $339 |
| Wellmark Blue Cross | HMO | $380 |
| Wellmark Blue Cross | PPO | $417 |
| Wellpoint (Amerigroup) | Managed Medicaid | $606 |
| Immugrun | All Products | $682 |
Inpatient
—cash price (self-pay)
$1,083list price
$606–$1,007range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Midlands Choice | All Products | $975 |
Billed more than this?
Scan my billSnap a photo of your bill. We compare every line with these prices and coding rules, free.
All common services at Southeast Iowa Regional Medical Center West Burlington