Ultrasound, abdomen (limited)
Facility: Centura St. Catherine-Dodge City
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $893
- Cash Discount Price: $543
- vs. Medicare Baseline: 8.36x 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 836% of the Medicare baseline (a markup of 736%). 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 |
|---|---|---|
| Kansas Health | $52 | 49% |
| Blue Cross Blue Shield | $52 - $154 | 49% |
| Humana | $52 | 49% |
| Aetna | $52 - $1,086 | 49% |
| Cigna | $52 | 49% |
| Kaiser | $52 | 49% |
| Medicare (plans) | $52 | 49% |
| Centura Employee Plan | $205 | 192% |
| UnitedHealthcare | $893 | 836% |
| Wpaa | $950 | 889% |
| Christian Health Aid | $1,086 | 1017% |
| Multiplan | $1,086 - $1,222 | 1017% |
| Health Partners Of Kansas | $1,222 | 1144% |
Consumer Guidance & Cost Commentary
For the ultrasound procedure code 76705 at Centura St. Catherine-Dodge City, the facility's cash median price is $543.00, which is significantly lower than the median negotiated rate of $893.00 and the gross charge of $1,358.00. While the facility is in-network for most major payers, the negotiated rates vary widely, ranging from $52 for Kansas Health and Humana to $1,222 for Multiplan. It is important to note that the cash price of $543.00 is higher than the Medicare benchmark of $106.81, indicating a markup relative to the federal baseline. Patients with high-deductible plans may find the cash price more affordable than their insurance allowed amount, provided they qualify for a prompt-pay discount by paying upfront.
The facility is located in Dodge City, KS, and serves 13 different payers, with negotiated rates spanning from a low of $52 to a high of $1,222. While specific county or state average data was not provided in the source material, the wide variance in negotiated rates across payers—such as the difference between Aetna's range of $52 to $1,086 and UnitedHealthcare's fixed rate of $893—highlights the importance of verifying your specific plan's allowed amount before scheduling. Consumers should request a self-pay or prompt-pay discount prior to check-in to avoid being billed the full negotiated rate, and they should always ask for an itemized bill to ensure no services were unbundled or double-charged.