Ultrasound, abdomen at Ascension Saint Thomas Rutherford. CPT 76700.
What Ascension Saint Thomas Rutherford publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$226cash price (self-pay)
$754list price
$55.69–$219range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Tenncare Select | 2414_bcbs Blue Care Tenncare (Rutherford) 20221 | $55.69 |
| Ascension Complete | 2940_ascension Complete Medicare Advantage Outpat | $102 |
| Centurion Of Tn | 2942_medicare Advantage Centurion Of Tn Outpatient 2 | $102 |
| Clover Medicare Advantage | 2943_medicare Advantage Clover Outpatient | $102 |
| Healthspring Mcr Replacement | 2944_medicare Advantage Healthspring Ou | $102 |
| Humana Mcr Replacement | 2945_medicare Advantage Humana Outpatient 202 | $102 |
| Medicare Other | 2947_medicare Other Outpatient 20250101 | $102 |
| Nhc Advantage | 2948_mttn Rhtn Rptn Sdtn Sttn Medicare Advantage Nhc A | $102 |
| Optum Va | 2935_medicare Advantage Optum Va Outpatient 20250101 | $102 |
| Triwest Va Pccc | 1713_triwest Op (West, Rutherford) 20210101 | $102 |
| UHC Mcr Replacement | 2951_mttn Sttn Rptn Medicare Advantage UHC Outpa | $102 |
| Aetna Medadvantage | 2956_rhtn Rptn Sdtn Thtn Mttn Sttn Medicare Advan | $104 |
| Amerigroup Mcr Replacement | 2959_sttn Mttn Medicare Advantage Amerigr | $105 |
| BCBS Bluecare Plus | 2949_mttn Sttn Medicare Advantage Blue Cross Blue | $106 |
| BCBS Mcr Replacement | 2941_medicare Advantage Blue Cross Blue Shield | $107 |
| BCBS Aca Exchange | 3147_sttn Blue Cross Blue Shield Network E 2024123 | $108 |
| Humana +51 Cpos | 2835_mttn Humana +51 Cpos 20241001 | $139 |
| BCBS Aca Exchange | 3146_mttn Blue Cross Blue Shield Network E 2024123 | $142 |
| BCBS Network L | 3151_mttn Blue Cross Blue Shield Network L 20250401 | $155 |
| BCBS Select | 3178_mttn Blue Cross Blue Shield Select 20250701 | $155 |
| BCBS Missionpoint | 2416_mttn Blue Cross Blue Shield Mission Point 202 | $159 |
| BCBS Missionpoint | 2422_blue Cross Blue Shield Missionpoint Regional | $159 |
| BCBS Network E | 3149_blue Cross Blue Shield Network E Regional 202504 | $163 |
| Aetna (Rutherford Only) | 3160_mttn Aetna 20250701 | $165 |
| Aetna Vhan | 3022_mttn Aetna Vhan 20241015 | $165 |
| Aetna Whole Health | 3023_mttn Aetna Whole Health 20241015 | $165 |
| BCBS Preferred | 3177_mttn Blue Cross Blue Shield Preferred 20250701 | $168 |
| Aetna | 3159_sttn Aetna 20250701 | $168 |
| Cigna Surefit | 2834_mttn Cigna Surefit 20241001 | $174 |
| BCBS Network L | 3150_blue Cross Blue Shield Network L Regional 202504 | $178 |
Inpatient
—cash price (self-pay)
—list price
$91.66–$143range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Point Comfort Underwriters | 3224_mttn Rhtn Rptn Sdtn Sttn Medicare Ad | $91.66 |
| Americhoice Medicare | 3207_mttn, Sttn Americhoice Medicare Inpatient | $95.73 |
| Ascension Complete | 3229_ascension Complete Medicare Advantage Inpati | $102 |
| Centurion Of Tn | 3228_medicare Advantage Centurion Of Tn Inpatient 20 | $102 |
| Clover Medicare Advantage | 3227_medicare Advantage Clover Inpatient 2 | $102 |
| Covid Uninsured Test Fund | 3202_covid Uninsured Test Fund Inpatient 2 | $102 |
| Healthspring Mcr Replacement | 3219_mttn Sttn Rptn Sdtn Rhtn Medicare | $102 |
| Humana Mcr Replacement | 3222_mttn Sttn Medicare Advantage Humana Inpa | $102 |
| Medicare Other | 3204_mttn Sttn Medicare Other Inpatient 20251001 | $102 |
| Nhc Advantage | 3225_mttn Rhtn Rptn Sdtn Sttn Medicare Advantage Nhc A | $102 |
| Optum Va | 3205_medicare Advantage Optum Va Inpatient 20251001 | $102 |
| Triwest Va Pccc | 3235_mttn Sttn Triwest Inpatient 20251001 | $102 |
| UHC Mcr Replacement | 3226_medicare Advantage UHC Inpatient 20251001 | $102 |
| Aetna Medadvantage | 3214_rptn Rhtn Sdtn Thtn Mttn Sttn Medicare Advan | $104 |
| Amerigroup Mcr Replacement | 3210_sttn Mttn Medicare Advantage Amerigr | $105 |
| BCBS Bluecare Plus | 3223_mttn Sttn Medicare Advantage Blue Cross Blue | $106 |
| BCBS Mcr Replacement | 3238_thtn Medicare Advantage Blue Cross Blue Sh | $107 |
| Windsor Medicare | 3220_mttn Sttn Medicare Advantage Wellcare (Windsor | $107 |
| Ambetter Of Tn | 3236_ambetter Of Tn Inpatient 20251001 | $132 |
| Smart Health | 3237_mttn, Rptn, Rhtn, Sdtn, Thtn Ascension Smart Healt | $143 |
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