Ultrasound, abdomen at Ascension Seton Smithville (Ascension Seton). CPT 76700.
What Ascension Seton Smithville (Ascension Seton) publishes for this service, straight from its standard-charges file, last updated January 1, 2026.
Outpatient / ER
$292cash price (self-pay)
$1,155list price
$85.91–$928range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Champva | 1136_champva Austin 20180301 | $85.91 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip (Chi,Dcn) Outpatient 20 | $107 |
| BCBS Chip/Chip Perinate | 4168_blue Cross Chip/Star Kids (Chi,Dcn) Out | $107 |
| BCBS Chip/Chip Perinate | 4174_blue Cross Chip (Smv) Outpatient 202412 | $107 |
| BCBS Star Kids | 5003_blue Cross Star Kids (Chi,Dcn) Outpatient 202412 | $107 |
| BCBS Star Kids | 5015_blue Cross Star Kids (Smv) Outpatient 20241201 | $107 |
| Dell Chip/Chip Perinate | 4185_dell Chip/Star Kids (Smv) Outpatient 20 | $107 |
| Dell Star | 4236_chirp Dell Star (Smv) Outpatient 20241201 | $107 |
| Superior Ambetter | 3880_superior Ambetter (Chi,Dcn) Outpatient 202409 | $107 |
| BCBS Bav Exchange | 4127_blue Cross Blue Shield Bav Exchange 20250101 | $112 |
| BCBS Chip/Chip Perinate | 3594_blue Cross Chip/Star Kids (Chi,Dcn) Inp | $114 |
| BCBS Chip/Chip Perinate | 3600_blue Cross Chip/Star Kids (Smv) Inpatie | $114 |
| BCBS Star | 3699_chirp Blue Cross Star (Smv) Inpatient 20240901 | $114 |
| Dell Chip/Chip Perinate | 3605_dell Chip/Star Kids (Chi,Dcn) Inpatient | $114 |
| Dell Chip/Chip Perinate | 3611_dell Chip/Star Kids (Smv) Inpatient 202 | $114 |
| Dell Star | 3704_chirp Dell Star (Chi,Dcn) Inpatient 20240901 | $114 |
| Dell Star | 3710_chirp Dell Star (Smv) Inpatient 20240901 | $114 |
| BCBS Chip/Chip Perinate | 4174_blue Cross Chip/Star Kids (Smv) Outpati | $116 |
| BCBS Star | 3693_chirp Blue Cross Star (Chi,Dcn) Inpatient 20240901 | $116 |
| BCBS Star | 4219_chirp Blue Cross Star (Chi,Dcn) Outpatient 20241201 | $116 |
| BCBS Star | 4225_chirp Blue Cross Star (Smv) Outpatient 20241201 | $116 |
| Dell Chip/Chip Perinate | 4179_dell Chip/Star Kids (Chi,Dcn) Outpatien | $116 |
| Dell Star | 4230_chirp Dell Star (Chi,Dcn) Outpatient 20241201 | $116 |
| Superior Ambetter | 3879_superior Ambetter (Chi,Dcn) Inpatient 2024090 | $116 |
| Champva | 1135_champva Rest_tx 20180301 | $119 |
| Cigna HMO | 4475_cigna HMO (Aus,Nw,Sw,Hay) 20250701 | $350 |
| Cigna HMO | 4476_cigna HMO (Wil,Del) 20250701 | $350 |
| Seton Performance Plus | 785_seton Performance EPO PPO (Aus,Nw,Sw,Hay) | $356 |
| Seton Performance Plus | 788_seton Performance EPO PPO (Wil,Del,Brk,Ba | $356 |
| BCBS Hpn | 4440_blue Cross Blue Shield Hpn 20250501 | $372 |
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All common services at Ascension Seton Smithville (Ascension Seton)