Ultrasound, abdomen (limited)
Facility: Providence Medical Center
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $103
- Cash Discount Price: $98
- vs. Medicare Baseline: 0.96x 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 |
|---|---|---|
| Medicaid / KanCare | $60 | 56% |
| UnitedHealthcare | $91 - $215 | 85% |
| Comp Alliance - Fka Compresults Worker Compensation | $92 | 86% |
| Celtic | $93 - $158 | 87% |
| Healthy Blue | $93 - $103 | 87% |
| Aetna | $98 - $113 | 92% |
| Tricare | $98 | 92% |
| Medicare (plans) | $98 | 92% |
| Cigna | $98 | 92% |
| Midland Care Connection | $98 | 92% |
| Oha Networks | $99 | 93% |
| Worker Compensation | $102 | 95% |
| Kansas Superior Select | $103 | 96% |
| Corizon | $128 | 120% |
| Well Path Prison | $138 | 129% |
| Employer Direct Healthcare | $138 | 129% |
| Centurion | $148 | 139% |
| Naphcare | $153 | 143% |
| Blue Cross Blue Shield | $158 - $255 | 148% |
| First Health | $750 | 702% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), at Providence Medical Center in Kansas City, KS, the facility's cash median rate is $98.00, which is significantly lower than the state average of $206.00. While many commercial payers, such as UnitedHealthcare and Celtic, have negotiated rates ranging from $91 to $215, the cash price offers a substantial alternative for patients with high-deductible plans or those without insurance. Because commercial negotiated rates often include administrative overhead and do not reflect the actual cost of care, paying cash upfront can result in immediate savings compared to the amounts insurance companies may allow. Patients are encouraged to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available, as these programs can further reduce the final bill by bypassing the standard insurance billing cycle.
It is important to note that while the No Surprises Act protects patients from balance billing for emergency services at in-network facilities, unexpected charges can still arise from out-of-network ancillary services like emergency physicians or specific lab tests. If a patient receives a bill that appears to include balance billing, they should request an itemized audit to verify that all services were rendered and that no unbundled codes were charged separately. Additionally, comparing the facility's rates to the Medicare benchmark of $106.81 reveals that the cash rate of $98.00 is already below the federal baseline, suggesting a fair pricing structure. Consumers should avoid accepting summary bills without reviewing the detailed CPT-coded statement, as over 80% of hospital bills contain errors that can be corrected through a formal written dispute sent to