Ultrasound, abdomen at St. Charles Prineville. CPT 76700.
What St. Charles Prineville publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$726cash price (self-pay)
$908list price
$92.53–$890range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| MODA MEDICAID [528] | Eastern Oregon CCO | $92.53 |
| AUTO GEICO CLAIMS OREGON [606] | Auto Insurance | $178 |
| AUTO TRAVELERS INSURANCE [615] | Auto Insurance | $178 |
| GENERIC AUTO [649] | Auto Insurance | $178 |
| AUTO STATE FARM CLAIMS [609] | Auto Insurance | $178 |
| AUTO DAIRYLAND INSURANCE [617] | Auto Insurance | $178 |
| AUTO LIBERTY MUTUAL AUTO INS [613] | Auto Insurance | $178 |
| OTJ ESIS WEST WC CLAIMS [653] | Oregon Workers Compensation | $178 |
| AUTO SAFECO CONCENTRA [600] | Auto Insurance | $178 |
| AUTO HARTFORD [612] | Auto Insurance | $178 |
| AUTO NATIONWIDE ALLIED INSURANC [601] | Auto Insurance | $178 |
| KAISER PERMANENTE [334] | OEBB PEBB Non-Contracted | $230 |
| ATRIO HEALTH MEDICARE [138] | Medicare | $254 |
| HEALTH MARKET CARE ASSURED [134] | Medicare | $254 |
| HUMANA MEDICARE [130] | Medicare | $254 |
| UNICARE [133] | Medicare | $254 |
| SAMARITAN HEALTH PLAN MED ADV [141] | Medicare | $254 |
| WELLCARE [132] | Medicare | $254 |
| INDIAN HEALTH [704] | Medicare | $254 |
| BLUE CROSS MED ADV [125] | Blue Cross Medicare | $280 |
| CASCADE HEALTH ALLIANCE [532] | Oregon Medicaid CCO | $318 |
| PRIMARY HEALTH OF JOSPEHINE COUNTY LLC [547] | Oregon Medicaid CCO | $318 |
| YAMHILL COUNTY COORDINATED CARE ORG [550] | Oregon Medicaid CCO | $318 |
| TRILLIUM MEDICAID [535] | Oregon Medicaid CCO | $318 |
| INTERCOMMUNITY HEALTH [530] | Oregon Medicaid CCO | $318 |
| BRIDGESPAN [342] | Blue Cross Individual | $325 |
| REGENCE GROUP ADMINISTRATORS [203] | Blue Cross PPO | $383 |
| HEALTHCARE MANAGEMENT ADMIN [201] | Blue Cross PPO | $383 |
| PACIFICSOURCE [345] | PacificSource Navigator Group | $497 |
| PACIFICSOURCE [345] | PacificSource Navigator Individual | $497 |
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