Ultrasound, abdomen (limited)
Facility: Saint John Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $99
- Cash Discount Price: $98
- vs. Medicare Baseline: 0.93x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $60 | 56% |
| Blue Cross Blue Shield | $63 - $133 | 59% |
| UnitedHealthcare | $91 - $138 | 85% |
| Comp Alliance Workers Comp | $92 | 86% |
| Healthy Blue | $93 - $103 | 87% |
| Celtic | $93 - $158 | 87% |
| Medicare (plans) | $98 | 92% |
| Cigna | $98 | 92% |
| Midland Care Connection | $98 | 92% |
| Aetna | $98 - $113 | 92% |
| Tricare | $98 | 92% |
| Oha Networks | $99 | 93% |
| Kansas Superior Select | $100 | 94% |
| Worker Compensation | $102 | 95% |
| Corizon | $138 | 129% |
| Well Path | $138 | 129% |
| Employer Direct Healthcare | $138 | 129% |
| Centurion | $148 | 139% |
| Naphcare | $153 | 143% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), Saint John Hospital in Leavenworth, KS, lists a cash median price of $98.00 and a median negotiated rate of $99.00. This cash price is significantly lower than the facility's gross charge of $1,949.00, which is a common practice to prevent patients from being surprised by high list prices. While the facility's negotiated rates range from $60 to $158 across 19 different payers, the cash price of $98.00 represents a substantial discount for patients who do not have insurance or have high-deductible plans where the insurance allowed amount might exceed the cash rate. It is important to note that commercial rates often include administrative overhead for claims processing, which can inflate the baseline price by 20% to 40% compared to direct cash payments.
Patients should be aware that hospitals frequently issue summary bills that obscure individual charges, making it difficult to identify errors or unbundled codes. To protect against overcharging, consumers should request a full itemized bill that breaks down every CPT code and unit cost before agreeing to pay. Additionally, since prompt-pay discounts are typically offered to those who settle upfront, patients should explicitly ask for self-pay or prompt-pay rates before scheduling the procedure to ensure they are not automatically enrolled in an insurance billing cycle that voids potential cash savings.