Ultrasound, abdomen at fairview hospital. CPT 76700.
What fairview hospital publishes for this service, straight from its standard-charges file, last updated June 15, 2026.
Outpatient / ER
$477cash price (self-pay)
$734list price
$0.87–$734range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| AETNA | Acop | $0.87 |
| AETNA | Asa_Whirlpool_Peia | $1.01 |
| HUMANA | Medicare Advantage HMO | $95.38 |
| MMO | Medicare Advantage HMO | $98.58 |
| Aetna | Medicare Advantage | $98.91 |
| Anthem | Medicare Advantage | $98.91 |
| Devoted Health | Medicare Advantage | $98.91 |
| MMO | Medicare Advantage PPO | $102 |
| Cigna | Medicare Advantage | $102 |
| CommuniCare | MEDICARE ADVANTAGE | $104 |
| OPTUM | Managed Medicaid Transplant | $123 |
| ANTHEM | Managed Medicaid | $136 |
| Buckeye | Managed Medicaid | $136 |
| MOLINA | Managed Medicaid | $136 |
| CARESOURCE | Managed Medicaid | $139 |
| AMERIHEALTH | Managed Medicaid | $143 |
| Anthem | Hpn | $210 |
| Cc Ehp | All Products | $248 |
| AETNA | International | $277 |
| Anthem | PPO/HMO | $285 |
| Mmo | All Products | $287 |
| Aultcare | PPO/HMO | $306 |
| Amish Community Aid Plan | ALL PRODUCTS | $330 |
| Ohcp | All Products | $357 |
| Omas | All Products | $367 |
| Mmo | Nasco | $382 |
| Mmo | Traditional | $382 |
| Ohio Healthy | TRANSPLANT | $396 |
| Healthsmart | All Products | $404 |
| Anthem | Traditional | $410 |
Inpatient
$477cash price (self-pay)
$734list price
$208–$734range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar | All Products | $265 |
| Amish Community Aid Plan | ALL PRODUCTS | $367 |
| Anthem | Traditional | $423 |
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