Ultrasound, abdomen (limited)
Facility: Overland Park Reg Med Ctr
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $832
- Cash Discount Price: $3,972
- vs. Medicare Baseline: 7.79x 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 779% of the Medicare baseline (a markup of 679%). 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 |
|---|---|---|
| United | $60 - $1,873 | 56% |
| Amerigroup | $60 | 56% |
| Healthyblue | $61 | 57% |
| Aetna | $62 - $2,122 | 58% |
| Unicare | $62 | 58% |
| Medicaid / KanCare | $62 | 58% |
| Multiplan | $82 - $3,080 | 77% |
| Home State Health Plan | $95 | 89% |
| Corvel Corporation | $97 - $2,705 | 91% |
| Oha Network | $101 - $2,081 | 95% |
| Cigna | $122 - $181 | 114% |
| Blue Cross Blue Shield | $141 - $1,789 | 132% |
| Humana | $141 - $182 | 132% |
| Ambetter / Centene | $704 - $774 | 659% |
| Nhc Advantage | $719 - $791 | 673% |
| Wppa Providrs Care Network | $757 - $832 | 709% |
| Universal Healthcare | $1,324 - $1,457 | 1240% |
| Coventry | $1,521 - $1,673 | 1424% |
| Coventry Kc Mo | $1,551 - $1,706 | 1452% |
| College Park Family Care Center | $1,627 - $1,789 | 1523% |
| Cco, Inc. | $2,837 - $3,121 | 2656% |
| Triwest Health Alliance | $2,837 - $3,121 | 2656% |
| Focus Healthcare Mgmt, Inc | $2,837 - $3,121 | 2656% |
Consumer Guidance & Cost Commentary
For the ultrasound of the abdomen (limited) at Overland Park Reg Med Ctr, the cash price is $3,972, which matches the facility's cash median. This rate is significantly higher than the state average, reflecting the facility's proprietary ownership and location in Overland Park, Kansas. While commercial insurance contracts often cap charges, many in-network plans still result in out-of-pocket costs that exceed the cash price, particularly for patients with high deductibles. In such cases, paying the cash rate directly can be more cost-effective than relying on insurance, as the negotiated allowed amounts for many payers range from $60 to over $3,000, often leaving the patient responsible for substantial deductibles or copays.
To minimize costs, patients should verify their specific plan's deductible status before scheduling, as many commercial contracts include administrative overhead that inflates the baseline price. Additionally, asking the hospital about "self-pay" or "prompt-pay" discounts before check-in can reduce the bill by 20% to 50%, bypassing the costly claims processing cycle. It is also important to request a full itemized bill to ensure no errors or unbundled charges exist, as over 80% of hospital bills contain mistakes. Finally, while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, patients should still review their itemized statement carefully to confirm all charges align with their plan's coverage.