Ultrasound, abdomen at Jackson County Memorial Hospital. CPT 76700.
What Jackson County Memorial Hospital publishes for this service, straight from its standard-charges file, last updated December 31, 2025.
Outpatient / ER
$911cash price (self-pay)
$911list price
$108–$866range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Coventry | Medicare Advantage | $108 |
| Humana | Medicare Advantage | $108 |
| Humana | Veteran Services Project Hero | $108 |
| Blue Cross Blue Shield Of Oklahoma | Blue Advantage | $352 |
| Blue Cross Blue Shield Of Oklahoma | Blue Choice | $352 |
| Blue Cross Blue Shield Of Oklahoma | Blue Lincs | $352 |
| Blue Cross Blue Shield Of Oklahoma | Blue Preferred | $352 |
| Blue Cross Blue Shield Of Oklahoma | Blue Traditional | $352 |
| Healthcare Highways | Sync PPO | $547 |
| United Healthcare | PPO | $620 |
| Oklahoma Health Network (OHN) | PPO | $638 |
| Coventry | PPO | $674 |
| Coventry | First Health PPO | $729 |
| Phcs | Multiplan Savility PPO | $729 |
| Aetna | Gatekeeper | $756 |
| Aetna | Non Gatekeeper | $775 |
| Cigna | PPO | $775 |
| Phcs | Multiplan PPO | $820 |
| Preferred Community Choice | PPO | $820 |
| Humana | PPO | $866 |
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