Ultrasound, abdomen (limited)
Facility: University Of Kansas Health System - St Francis Campus
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $478
- Cash Discount Price: $350
- vs. Medicare Baseline: 4.48x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 448% of the Medicare baseline (a markup of 348%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Healthcare Highways [2210] | $478 | 448% |
| Black Lung [6055] | $478 | 448% |
| Oncology Patient Assistance Programs [2295] | $478 | 448% |
| Lucent Health [6000] | $478 | 448% |
| Aetna | $478 | 448% |
| Blue Cross Blue Shield | $478 | 448% |
| Web Tpa [2115] | $478 | 448% |
| Hooray Health [8000] | $478 | 448% |
| Department Of Corrections [1340] | $584 | 547% |
| National Association Of Letter Carriers [1695] | $675 | 632% |
| American Postal Workers Union [1070] | $675 | 632% |
| Cigna | $675 | 632% |
| Healthpartners [1500] | $675 | 632% |
| Humana | $689 | 645% |
| American Healthcare [1055] | $907 | 849% |
| Administrative Concepts [1005] | $907 | 849% |
| Multiplan [1680] | $907 | 849% |
| First Health [1375] | $907 | 849% |
| Coventry Healthcare [1320] | $957 | 896% |
| Ks Disability Determination [6090] | $1,167 | 1093% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, representing an ultrasound of the abdomen, the University of Kansas Health System - St Francis Campus lists a gross charge of $1,167.00. While the facility's cash median price is $350.00, the negotiated rates paid by various insurance payers range from $478.00 to $1,167.00, with a median negotiated amount of $478.00. It is important to note that for patients with high-deductible plans, paying the cash price of $350.00 upfront may be more cost-effective than relying on insurance, as the facility's negotiated rate often exceeds the cash price. Additionally, patients should proactively inquire about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can significantly reduce the final bill by bypassing administrative claim processing fees.
When evaluating the cost of this service, it is crucial to compare rates against objective benchmarks rather than the facility's inflated gross charges. The Medicare benchmark for this procedure is $106.81, which serves as a scientifically validated baseline for the true cost of delivery. The facility's gross charge of $1,167.00 represents a significant markup compared to this federal rate, whereas the cash price of $350.00 is approximately 3.3 times the Medicare amount. To ensure accuracy and avoid unexpected costs, patients should request a detailed, itemized billing audit before paying any invoice, as summary bills often obscure individual line items and errors. Furthermore, if a patient receives care from an out-of-network provider at this facility, the No