Ultrasound, abdomen (limited)
Facility: Pratt Regional Medical Center
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $105
- Cash Discount Price: $308
- vs. Medicare Baseline: 0.98x 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 |
|---|---|---|
| Christian Health Aid | $74 - $587 | 69% |
| UnitedHealthcare | $82 - $798 | 77% |
| Health Partners Of Kansas | $84 - $665 | 79% |
| Aetna | $89 - $704 | 83% |
| Choicecare | $99 - $782 | 93% |
| Celtic Insurance Company | $102 | 95% |
| Healthy Blue | $105 | 98% |
Consumer Guidance & Cost Commentary
For the Ultrasound, abdomen (limited) procedure at Pratt Regional Medical Center in Pratt, KS, the cash median price is $308.00, which is lower than the facility's gross charge of $441.00. While the facility offers a negotiated rate of $105.00 to in-network commercial payers, this amount is still higher than the cash price. This pricing structure highlights a common billing dynamic where paying out-of-pocket can be more cost-effective than using insurance, particularly for patients with high deductibles or those who have not yet met their coverage threshold. Because commercial contracts often include administrative overhead that inflates the baseline price, the cash rate represents a more direct cost for self-pay patients.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it is crucial to verify the network status of specific ancillary services like laboratory tests or imaging. If a patient receives care from an out-of-network provider, they could face unexpected bills for the difference between the provider's full chargemaster rate and the insurance allowed amount. To avoid these surprises, consumers should request a full itemized bill before paying and dispute any errors, as over 80% of hospital bills contain mistakes such as double-billing or unbundled codes. Additionally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as paying the bill in full upfront can often result in a significant fee reduction that bypasses the costly claims processing cycle.