Ultrasound, abdomen at Intermountain Health Spanish Fork Hospital. CPT 76700.
What Intermountain Health Spanish Fork Hospital publishes for this service, straight from its standard-charges file, last updated August 5, 2026.
Outpatient / ER
$820cash price (self-pay)
$1,093list price
$37.72–$984range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Health Plan of Nevada | Medicaid | $74.35 |
| SelectHealth | Med Individual ACA | $74.35 |
| SelectHealth | Medicaid | $74.35 |
| SelectHealth | Signature Individual ACA | $74.35 |
| SelectHealth | Value Individual ACA | $74.35 |
| Aetna | Medicare Adv HMO | $74.35 |
| Aetna | Medicare Adv PPO | $74.35 |
| American Health | Medicare Adv UT HMO I-SNP | $74.35 |
| Health Partners of Nevada | Medicare Advantage | $74.35 |
| Healthy U | Medicaid | $74.35 |
| Humana | Medicare Choice PPO | $74.35 |
| Molina | Medicare Advantage | $74.35 |
| Molina | Medicare Complete Care HMO SNP | $74.35 |
| Regence BCBS | MedAdvantage PPO | $74.35 |
| SelectHealth | Medicare Advantage | $74.35 |
| UHC | Medicare Advantage | $74.35 |
| Intermountain Caregiver Plan | Share Network | $382 |
| SelectHealth | FEHBP | $382 |
| SelectHealth | SelectShare | $382 |
| SelectHealth | SelectValue | $382 |
| Intermountain Caregiver Plan | CHP | $414 |
| Intermountain Caregiver Plan | Med Network | $414 |
| SelectHealth | SelectMed/CHIP | $414 |
| SelectHealth | SelectCare | $427 |
| EMI | Commercial | $465 |
| Deseret Mutual | Commercial | $484 |
| Deseret Mutual | Connected Utah | $484 |
| Regence BCBS | BlueOption | $507 |
| AWH Connected | Connected Utah | $522 |
| EMI Health | Mint | $549 |
Inpatient
$820cash price (self-pay)
$1,093list price
$71.07–$984range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Donor Connect | Other | $71.07 |
| SelectHealth | Med Individual ACA | $326 |
| Health Plan of Nevada | Medicaid | $328 |
| Intermountain Caregiver Plan | Share Network | $464 |
| SelectHealth | FEHBP | $464 |
| Intermountain Caregiver Plan | CHP | $527 |
| Intermountain Caregiver Plan | Med Network | $527 |
| EMI | Commercial | $590 |
| Deseret Mutual | Commercial | $629 |
| Deseret Mutual | Connected Utah | $629 |
| Regence BCBS | BlueOption | $675 |
| Cigna | Open Access Flex | $689 |
| AWH Connected | Connected Utah | $694 |
| EMI Health | Mint | $759 |
| EMI Health | Network Care | $759 |
| PEHP | Advantage State | $761 |
| BYU Risk Management | Workers Comp | $765 |
| Corporation of the President | Workers Comp | $765 |
| Regence BCBS | High Performance | $765 |
| Regence BCBS | FEHBP | $771 |
| PEHP | Advantage Non-State | $776 |
| BYU Athletics | Commercial | $787 |
| Campbell Scientific | Commercial | $787 |
| CorVel Corporation | Workers Comp | $787 |
| Franklin County | Commercial | $787 |
| Juniper Systems | Commercial | $787 |
| LW Miller | Commercial | $787 |
| Injury Care of Nevada | Workers Comp | $820 |
| Regence BCBS | Traditional | $831 |
| Managed Care Admin | Commercial | $853 |
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All common services at Intermountain Health Spanish Fork Hospital