Ultrasound, abdomen at Intermountain Health Primary Children's Hospital. CPT 76700.
What Intermountain Health Primary Children's Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$410cash price (self-pay)
$547list price
$37.72–$481range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Plan of Nevada | Medicaid | $51.82 |
| Healthy U | Medicaid | $60.80 |
| Molina | Medicaid | $60.80 |
| American Health | Medicare Adv UT HMO I-SNP | $63.24 |
| Molina | Medicare Advantage | $65.67 |
| Molina | Medicare Choice Care HMO | $65.67 |
| Molina | Medicare Complete Care HMO SNP | $65.67 |
| SelectHealth | Medicaid | $67.57 |
| Southwest Behavioral Health | Behavioral Health | $74.35 |
| UHC | Medicare Advantage | $74.35 |
| Donor Connect | Other | $218 |
| Aetna | Standard | $459 |
| BYU Athletics | Commercial | $459 |
| Campbell Scientific | Commercial | $459 |
| Cigna | HMO | $459 |
| Cigna | Open Access Flex | $459 |
| Cigna | PPO/EPO | $459 |
| Cigna | Utah Connect/Local Plus | $459 |
| Deseret Mutual | All Other | $459 |
| EMI Health | Mint | $459 |
| EMI Health | Network Care | $459 |
| EMI | Commercial | $459 |
| First Choice of the Midwest | Commercial | $459 |
| First Choice | Commercial | $459 |
| Franklin County | Commercial | $459 |
| Global Excel | Commercial | $459 |
| Health Utah | Commercial | $459 |
| Humana | Commercial | $459 |
| Hygeia Corporation | Commercial | $459 |
| Juniper Systems | Commercial | $459 |
Inpatient
$410cash price (self-pay)
$547list price
$197–$481range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $197 |
| American Health | Medicare Adv UT HMO I-SNP | $312 |
| Molina | Medicare Advantage | $328 |
| Molina | Medicare Choice Care HMO | $328 |
| Molina | Medicare Complete Care HMO SNP | $328 |
| AWH Connected | Connected Utah | $388 |
| Aetna | Connected | $388 |
| Aetna | Extended | $388 |
| Aetna | Standard | $388 |
| BYU Athletics | Commercial | $388 |
| Campbell Scientific | Commercial | $388 |
| Cigna | HMO | $388 |
| Cigna | Open Access Flex | $388 |
| Cigna | PPO/EPO | $388 |
| Cigna | Utah Connect/Local Plus | $388 |
| Deseret Mutual | All Other | $388 |
| EMI Health | Mint | $388 |
| EMI Health | Network Care | $388 |
| EMI | Commercial | $388 |
| First Choice of the Midwest | Commercial | $388 |
| First Choice | Commercial | $388 |
| Franklin County | Commercial | $388 |
| Global Excel | Commercial | $388 |
| Health Utah | Commercial | $388 |
| Humana | Commercial | $388 |
| Hygeia Corporation | Commercial | $388 |
| Juniper Systems | Commercial | $388 |
| LW Miller | Commercial | $388 |
| Managed Care Admin | Commercial | $388 |
| MedCare International | Commercial | $388 |
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All common services at Intermountain Health Primary Children's Hospital