Ultrasound, abdomen (limited)
Facility: St. Catherine Hospital - Garden City
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $231
- Cash Discount Price: $492
- vs. Medicare Baseline: 2.16x 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 216% of the Medicare baseline (a markup of 116%). 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 |
|---|---|---|
| Kaiser | $51 - $425 | 48% |
| Cigna | $51 - $261 | 48% |
| UnitedHealthcare | $51 - $568 | 48% |
| Blue Cross Blue Shield | $51 - $242 | 48% |
| Medicare (plans) | $51 - $59 | 48% |
| Humana | $51 - $59 | 48% |
| Aetna | $51 - $772 | 48% |
| Kansas Health | $51 | 48% |
| Devoted Health | $59 | 55% |
| Innovage | $59 | 55% |
| Direct To Employer | $162 - $618 | 152% |
| Centura Employee Plan | $205 | 192% |
| Peak Health | $218 - $602 | 204% |
| United Colorado Doctor'S Plan | $245 | 229% |
| Multiplan | $250 - $1,312 | 234% |
| Denver Health | $364 | 341% |
| Wpaa | $642 | 601% |
| Christian Health Aid | $734 | 687% |
| Health Partners Of Kansas | $890 | 833% |
Consumer Guidance & Cost Commentary
For the ultrasound of the abdomen at St. Catherine Hospital in Garden City, Kansas, the cash price is $492.00, which is significantly higher than the state average of $147.00. While commercial insurance plans like Kaiser and Multiplan may negotiate rates up to $772.00 and $1,312.00 respectively, these amounts often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans should consider paying the cash price directly, as it can be cheaper than the negotiated rate their insurer would allow, provided they have not yet met their deductible. It is also advisable to ask the hospital about self-pay or prompt-pay discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%.
The facility's Medicare benchmark rate is $106.81, which serves as a reliable baseline for evaluating pricing fairness, as commercial negotiated rates often range from 200% to 300% of this amount. In this case, the median negotiated rate of $231.00 is roughly double the Medicare benchmark, reflecting the typical markup found in commercial contracts. To ensure you are not overcharged, request a detailed itemized bill that lists every specific CPT code and charge, as summary bills often hide errors or unbundled services. If you receive a balance bill for services rendered at an in-network facility, you may be entitled to protections under the No Surprises Act, which prohibits providers from billing you for the difference between their full charge and your insurance allowed amount.