Ultrasound, abdomen (limited)
Facility: Mcpherson Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $96
- Cash Discount Price: $424
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| UnitedHealthcare | $22 - $974 | 21% |
| Tricare | $23 - $85 | 22% |
| Wellcare Mcr Adv - All Plans | $26 - $96 | 24% |
| Aetna | $26 - $974 | 24% |
| Humana | $26 - $96 | 24% |
| Blue Cross Blue Shield | $26 - $96 | 24% |
| Ambetter / Centene | $26 - $111 | 24% |
| Healthy Blue Mcr Adv | $26 - $96 | 24% |
| Va Ccn - All Plans | $26 - $96 | 24% |
| Multiplan - All Plans | $33 - $877 | 31% |
| Medicaid / KanCare | $70 - $974 | 66% |
| Health Blue Mcaid - All Other Plans | $72 - $993 | 67% |
| Central Plains - All Plans | $129 - $730 | 121% |
| Medical Associates - All Plans | $129 - $730 | 121% |
| Cigna | $163 - $925 | 153% |
| Health Partners - All Plans | $163 - $925 | 153% |
| Wppa - All Plans | $682 | 639% |
| Christian Health Aid - All Plans | $779 | 729% |
| First Health - All Plans | $925 | 866% |
Consumer Guidance & Cost Commentary
For this ultrasound procedure at Mcpherson Hospital, the cash price of $424.00 is significantly lower than the median negotiated rate of $706.00 paid by insurance payers. While many commercial plans negotiate rates ranging from $22 to $974 depending on the carrier, the cash rate offers a substantial alternative for patients who may not have insurance or have high deductibles. It is important to note that commercial negotiated rates often include administrative costs for claims processing, which can make the cash price more economical if your insurance allowed amount exceeds the facility's cash rate. Additionally, patients should inquire about prompt-pay discounts, which can further reduce the final bill by paying in full upfront, bypassing the standard insurance billing cycle and associated administrative fees.
The facility's pricing is evaluated against the Medicare benchmark of $106.81, which serves as a baseline for the true cost of care. Although the cash rate of $424.00 is higher than the Medicare amount, it remains below the gross charge of $573.00 and represents a fair market value compared to the wide variance in commercial negotiated rates. For consumers, the key takeaway is to verify your specific plan's allowed amount before scheduling, as some payers may negotiate rates as low as $22 while others, such as First Health, have a fixed allowed amount of $925. Always request an itemized bill to ensure no unbundled charges or services not rendered are included, and consider asking for a self-pay classification prior to check-in to secure the best possible rate.