Ultrasound, abdomen (limited)
Facility: Lmh
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $105
- Cash Discount Price: $272
- 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 |
|---|---|---|
| Cigna | $39 - $728 | 37% |
| UnitedHealthcare | $39 - $723 | 37% |
| Medicare (plans) | $39 - $105 | 37% |
| Humana | $39 - $105 | 37% |
| Haskell Indian Health Services | $46 - $105 | 43% |
| Blue Cross Blue Shield | $46 - $705 | 43% |
| Allwell | $47 - $107 | 44% |
| Ambetter / Centene | $47 - $163 | 44% |
| Aetna | $694 - $904 | 650% |
| Non Contracted | $872 | 816% |
| First Health | $1,013 | 948% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), the facility in Lawrence, KS, lists a cash median price of $272.00, which is significantly lower than the gross charge of $1,090.00. While commercial payers like Cigna and UnitedHealthcare have negotiated rates ranging from $39 to $728, the cash price often represents a more affordable option for patients with high-deductible plans or those without insurance, as it bypasses administrative fees and insurance markup. It is important to note that the facility's negotiated rate of $105.00 is lower than the cash median, suggesting that paying directly may not always be the cheapest option depending on your specific insurance coverage and deductible status.
To ensure you are receiving the most accurate pricing, always request an itemized bill before finalizing payment, as summary bills can obscure individual charges and potential errors. When comparing costs, it is more meaningful to look at the Medicare benchmark of $106.81 rather than the facility's inflated gross charges, as Medicare rates reflect the true cost of care. Additionally, if you are self-paying, ask the billing department about prompt-pay discounts, which can reduce the total amount owed by 20% to 50% if settled upfront, and verify that no out-of-network services are included to avoid unexpected balance billing.