Ultrasound, abdomen (limited)
Facility: Wesley Medical Center
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $622
- Cash Discount Price: $3,594
- vs. Medicare Baseline: 5.82x 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 582% of the Medicare baseline (a markup of 482%). 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 |
|---|---|---|
| UnitedHealthcare | $60 | 56% |
| Aetna | $62 - $1,283 | 58% |
| Medicaid / KanCare | $62 | 58% |
| Amerigroup | $62 | 58% |
| First Health | $97 - $1,657 | 91% |
| Multiplan | $101 - $3,235 | 95% |
| Blue Cross Blue Shield | $131 | 123% |
| United | $245 - $1,617 | 229% |
| Health Partners Of Kansas | $622 - $1,797 | 582% |
| Wppa | $625 | 585% |
| Ambetter / Centene | $647 | 606% |
| Medical Associates Health Plan | $679 | 636% |
| Preferred Health Choices | $679 | 636% |
| Spirit Aerosystems | $1,150 | 1077% |
| Triwest Healthcare Alliance | $2,336 | 2187% |
| Usa Managed Care | $3,055 | 2860% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, representing an ultrasound of the abdomen, the cash price at Wesley Medical Center in Wichita, KS, is $3,594. This amount matches the facility's cash median and is significantly higher than the Medicare benchmark of $106.81, which serves as the federal baseline for evaluating hospital pricing markups. While the facility's negotiated rates range from $60 to $3,235 depending on the insurance carrier, these commercial rates often exceed the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the $3,594 rate is lower than the maximum negotiated amounts seen with payers like Multiplan and First Health, provided they have not yet met their out-of-pocket deductible.
To minimize costs, patients should proactively request "self-pay" or "prompt-pay" discounts before scheduling, as hospitals often offer reductions of 20% to 50% for upfront payment that bypasses costly insurance billing cycles. It is important to verify the specific allowed amount for your plan, as in-network rates vary widely across the 16 payers listed, with some contracts capping payments as high as $3,055. Additionally, while the No Surprises Act protects patients from balance billing for emergency care and non-emergency services at in-network facilities, patients should always review their itemized bills to ensure no unbundled codes or services not rendered are included. Given that over 80% of hospital bills contain errors, requesting a detailed line-by-line audit before finalizing payment is a critical step to avoid unexpected charges.