Ultrasound, abdomen at Dallam Hartley Counties Hospital District. CPT 76700.
What Dallam Hartley Counties Hospital District publishes for this service, straight from its standard-charges file, last updated May 4, 2026.
Outpatient / ER
$69.37cash price (self-pay)
$92.49list price
$37.00–$87.50range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| BCBS Blue Advantage | PPO | $37.00 |
| Baylor Scott and White Medicare Advantage | HMO | $53.64 |
| BCBS Blue Essentials HMO | HMO | $58.27 |
| Cigna Commercial | PPO | $62.89 |
| BCBS Blue Traditional/PPO | PPO | $64.74 |
| United Healthcare Commercial | PPO | $72.14 |
| Provider Network of America | PPO | $80.47 |
| Baylor Scott and White Medicaid Replacement | HMO | $87.50 |
Inpatient
$69.37cash price (self-pay)
$92.49list price
$1.00–$67.52range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| United Healthcare Commercial | PPO | $1.00 |
| BCBS Blue Advantage | PPO | $51.79 |
| BCBS Blue Essentials HMO | HMO | $58.27 |
| BCBS Blue Traditional/PPO | PPO | $64.74 |
| Cigna Commercial | PPO | $67.52 |
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All common services at Dallam Hartley Counties Hospital District