Ultrasound, abdomen (limited)
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $98
- Cash Discount Price: $519
- vs. Medicare Baseline: 0.92x 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 | $23 - $275 | 22% |
| Aetna | $24 - $94 | 22% |
| Medicaid / KanCare | $24 - $94 | 22% |
| Providrs Care | $38 - $116 | 36% |
| Medicare (plans) | $98 - $100 | 92% |
| Humana | $98 - $99 | 92% |
| Va | $98 | 92% |
| Tricare | $99 | 93% |
| Smarthealth | $138 | 129% |
| Blue Cross Blue Shield | $142 - $149 | 133% |
| Ambetter / Centene | $167 | 156% |
Consumer Guidance & Cost Commentary
For this ultrasound procedure, the facility's cash price of $519.00 is significantly lower than the average negotiated rates paid by commercial insurers, which range from $23 to $275 depending on the plan. While Medicare sets a benchmark of $106.81, commercial payers like UnitedHealthcare and Aetna negotiate rates that are roughly 200% to 300% of this federal baseline, a common industry markup. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the $519.00 rate is often lower than the insurance allowed amount before deductibles are met. It is important to note that the facility offers a self-pay classification, and patients should explicitly request prompt-pay discounts before scheduling to ensure they receive the lowest possible upfront rate.
The facility is located in Manhattan, Kansas, and operates as a voluntary non-profit acute care hospital. While the data does not provide specific county or state average comparisons for this exact code, the wide variation in commercial payer rates highlights the importance of verifying your specific plan's negotiated amount. Because insurance contracts vary by carrier and plan tier, assuming that being in-network guarantees the best price can lead to unexpected costs if your deductible has not yet been satisfied. To avoid balance billing or surprise charges, patients should confirm their out-of-network status for any ancillary services and request a detailed itemized bill to review all charges before finalizing payment.