Ultrasound, abdomen at Henry Ford Jackson Hospital. CPT 76700.
What Henry Ford Jackson Hospital publishes for this service, straight from its standard-charges file, last updated June 28, 2026.
Outpatient / ER
$50.70cash price (self-pay)
$148list price
$23.86–$1,022range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Blue Cross | Blue Cross Complete | $55.86 |
| HAP | HAP Caresource Medicaid | $55.86 |
| McLaren | Medicaid HMO | $55.86 |
| Meridian | Medicaid HMO | $55.86 |
| Priority Health | Medicaid HMO | $55.86 |
| Aetna Better Health | Medicaid HMO | $58.65 |
| Molina | Medicaid HMO | $59.11 |
| Humana Military | Tricare | $65.10 |
| HAP | Commercial | $81.18 |
| Veterans Evaluation Services | All Products | $97.78 |
| Aetna | Medicare Advantage | $105 |
| Blue Cross | Medicare Plus Blue | $105 |
| Blue Cross | BCN Advantage | $105 |
| Cascade Thome Pace | All Products | $105 |
| Humana | Medicare Advantage | $105 |
| McLaren | Medicare Advantage | $105 |
| Molina | Dual MI Coordinated Health | $105 |
| Priority Health | Dual Premier_HIDE-SNP | $105 |
| Priority Health | Medicare Advantage | $105 |
| United Healthcare | VACCN | $105 |
| WellCare | Wellcare Meridian Dual Align (HMO D-SNP) | $105 |
| HAP | HAP Dual Products | $106 |
| HAP | Medicare Advantage | $106 |
| Meridian | Ambetter From Meridian | $115 |
| HAP | Henry Ford Select -HPN commercial | $126 |
| Nomi | All Products | $134 |
| Blue Cross | BCBSM Commercial | $144 |
| Aetna | Commercial | $208 |
| Bcn | HMO | $228 |
| Blue Cross | BCN Commercial | $228 |
Inpatient
—cash price (self-pay)
$1,136list price
$571–$1,022range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare | UHC Commercial | $837 |
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