Ultrasound, abdomen (limited)
Facility: Salina Regional Health Center
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $149
- Cash Discount Price: $253
- vs. Medicare Baseline: 1.40x 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 |
|---|---|---|
| Blue Cross Blue Shield | $123 - $129 | 115% |
| Preferred Healthcare - All Other Plans | $135 - $450 | 126% |
| Cigna | $149 - $500 | 140% |
| Multiplan (Mpi)-All Plans | $149 - $500 | 140% |
| Providers Care (Wppa)-All Plans | $149 - $500 | 140% |
| Aetna | $149 - $500 | 140% |
| Preferred Phsic | $334 | 313% |
Consumer Guidance & Cost Commentary
For the ultrasound procedure code 76705 at Salina Regional Health Center in Salina, KS, the facility's cash median price of $253.00 is notably higher than the state average of $242.00. While the facility's negotiated rates with major payers like Blue Cross Blue Shield range from $123 to $129, these amounts are still above the cash price for many plans, suggesting that patients with high-deductible policies might save money by paying the cash rate directly. It is important to note that the facility's gross charge of $361.00 serves as the baseline for all billing, and commercial rates often include administrative overhead that can inflate the final cost compared to the federal Medicare benchmark of $106.81.
Patients should be aware that the facility offers a prompt-pay discount, which can reduce the bill by 20% to 50% if paid in full upfront, effectively lowering the cost below the cash median. However, to secure this discount, patients must request a self-pay classification and sign a waiver of insurance submission before check-in to prevent automatic claims processing. Additionally, under the No Surprises Act, patients are protected from balance billing for emergency care or non-emergency services at in-network facilities, meaning they should not feel pressured to pay unexpected differences without first disputing the bill or requesting a formal audit of the itemized charges.