Ultrasound, abdomen at Tj Health Samson Community Hospital. CPT 76700.
What Tj Health Samson Community Hospital publishes for this service, straight from its standard-charges file, last updated April 23, 2026.
Outpatient / ER
$62.40cash price (self-pay)
$970list price
$0.01–$922range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross Mcr Adv | Blue Cross Mcr Adv | $71.25 |
| Wellcare Mcr Adv - All Other Plans | Wellcare Mcr Adv - All Other Plan | $71.25 |
| Signature Health - All Plans | Signature Health - All Plans | $71.78 |
| Humana Mcr Adv - All Other Plans | Humana Mcr Adv - All Other Plans | $72.09 |
| Molina Mcr Adv | Molina Mcr Adv | $72.68 |
| Devoted Mcr Adv - All Plans | Devoted Mcr Adv - All Plans | $74.81 |
| Aetna Better Health Mcaid - All Plans | Aetna Better Health Mcaid - Al | $92.12 |
| Humana Mcaid | Humana Mcaid | $92.12 |
| Molina Mcaid | Molina Mcaid | $94.89 |
| Wellcare Mcaid | Wellcare Mcaid | $100 |
| Caresource - All Plans | Caresource - All Plans | $103 |
| Molina Marketplace - All Other Plans | Molina Marketplace - All Other | $103 |
| UHC All Payer - All Plans | UHC All Payer - All Plans | $377 |
| Blue Cross Mcr Select | Blue Cross Mcr Select | $430 |
| Center Care Select - All Plans | Center Care Select - All Plans | $430 |
| Phcs/Multiplan - All Plans | Phcs/Multiplan - All Plans | $912 |
| First Health - All Plans | First Health - All Plans | $922 |
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