Ultrasound, abdomen at Dupont Hospital. CPT 76700.
What Dupont Hospital publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$92.88cash price (self-pay)
$842list price
$83.39–$2,160range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Veterans Eval Services | Veterans Eval Services | $97.70 |
| Anthem BCBS | Anthem IN HIP | $111 |
| Physicians Health Plan | PHP Options | $162 |
| Align IN Work Comp | Align IN Work Comp | $177 |
| Physicians Health Plan | PHP Classic Network | $190 |
| Amish Aid | Amish Aid | $227 |
| Self Pay | Self Pay | $227 |
| PHP Freedom Network | PHP Freedom Network | $233 |
| Lutheran Preferred | Lutheran Preferred CHS Employees | $250 |
| Cigna | Cigna HMO | $272 |
| Cigna | Cigna PPO | $306 |
| Aetna | Aetna NBD | $312 |
| Aetna PSSD J and J | Aetna PSSD JJ | $312 |
| Physicians Health Plan | PHP Platinum Network | $326 |
| Lutheran Preferred | Lutheran Preferred Three Rivers Plus | $337 |
| Anthem BCBS | Anthem IN Healthsync | $373 |
| Aetna | Aetna | $376 |
| Lutheran Preferred | Lutheran Preferred Fixed | $379 |
| Lutheran Preferred | Lutheran Preferred Inclusive | $379 |
| Lutheran Preferred | Lutheran Preferred Three Rivers | $379 |
| Encore PPO | Encore Combined PPO | $421 |
| Lutheran Preferred | Lutheran Preferred Exclusive Plus | $421 |
| Lutheran Network | Lutheran Preferred Exclusive Plus MRM | $421 |
| Medical Mutual of OH | Medical Mutual of Ohio | $446 |
| Sagamore | Sagamore Select Fully Insured | $453 |
| Anthem | Anthem IN HMO PPO TRAD | $455 |
| Lutheran Preferred | Lutheran Preferred Choice | $463 |
| Lutheran Preferred | Lutheran Preferred Exclusive | $463 |
| Sagamore | Sagamore Plus | $469 |
| Sagamore | Sagamore Select Self Insured | $469 |
Inpatient
$155cash price (self-pay)
$842list price
$102–$2,160range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Lutheran Preferred | Lutheran Preferred CHS Employees | $250 |
| Cigna | Cigna HMO | $272 |
| Cigna | Cigna PPO | $306 |
| Aetna | Aetna NBD | $312 |
| Aetna PSSD J and J | Aetna PSSD JJ | $312 |
| Physicians Health Plan | PHP Platinum Network | $326 |
| Aetna | Aetna | $376 |
| Self Pay | Self Pay | $379 |
| Medical Mutual of OH | Medical Mutual of Ohio | $446 |
| Lutheran Preferred | Lutheran Preferred Choice | $463 |
| Lutheran Preferred | Lutheran Preferred Exclusive | $463 |
| Lutheran Preferred | Lutheran Preferred CCSI | $505 |
| Prime Health Services | Prime Health Services | $632 |
| Prime Health Services | Prime Health Services Auto | $632 |
| FrontPath | FrontPath Health Coalition | $674 |
| Encore Health Network | Encore Fully Funded | $690 |
| Advantage Health Solutions | Advantage Health Solutions | $699 |
| Multiplan | Multiplan PPO Primary Network | $724 |
| Allied Benefit Systems | Allied Benefit Systems | $758 |
| Encore Health Network | Encore Self Funded | $758 |
| Multiplan | Multiplan PPO Complimentary Network | $758 |
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