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Ultrasound, abdomen at WTH Bolivar Hospital. CPT 76700.

What WTH Bolivar Hospital publishes for this service, straight from its standard-charges file, last updated June 2, 2026.

Outpatient / ER

$426cash price (self-pay)
$1,421list price
$62.49–$980range insurers pay
Insurance planNegotiated rate
River Valley Plan | TennCare$62.49
Blue Cross Blue Shield of Tennessee | Network S/E$143
Blue Cross Blue Shield of Tennessee | Network P$155
Oscar | HMO/Medicare Advantage/PPO/EPO/POS$165
Celtic Insurance Company | Commercial-Exchange$166
Veterans Affairs | Community Care Network$341
Blue Cross Blue Shield of Tennessee | BlueCare$351
Blue Cross Blue Shield of Tennessee | BlueChoice HMO$351
Cigna-HealthSpring | Medicare Advantage$354
United Healthcare | All Payer$474
Aetna | AWH/Vanderbilt Health Affiliated Network (VHAN)/VHAN - Employe$794
Aetna | Commercial$980

Inpatient

$426cash price (self-pay)
$1,421list price
$980–$980range insurers pay
Insurance planNegotiated rate
Aetna | Commercial$980
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All common services at WTH Bolivar Hospital