Ultrasound, abdomen (limited)
Facility: Menorah Medical Center
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $579
- Cash Discount Price: $2,627
- vs. Medicare Baseline: 5.42x 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 542% of the Medicare baseline (a markup of 442%). 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 |
|---|---|---|
| Amerigroup | $60 | 56% |
| United | $60 - $1,231 | 56% |
| Healthyblue | $61 | 57% |
| Medicaid / KanCare | $62 | 58% |
| Aetna | $62 - $1,395 | 58% |
| Unicare | $62 | 58% |
| Multiplan | $82 - $2,024 | 77% |
| Home State Health Plan | $95 | 89% |
| Corvel Corporation | $97 - $1,778 | 91% |
| Oha Network | $101 - $1,368 | 95% |
| Cigna | $122 - $2,189 | 114% |
| Blue Cross Blue Shield | $141 - $1,231 | 132% |
| Humana | $141 - $182 | 132% |
| Ambetter / Centene | $468 - $509 | 438% |
| Nhc Advantage | $478 - $520 | 448% |
| Wppa Providrs Care Network | $503 - $547 | 471% |
| Universal Healthcare | $881 - $958 | 825% |
| Coventry | $1,012 - $1,100 | 947% |
| Coventry Kc Mo | $1,032 - $1,122 | 966% |
| College Park Family Care Center | $1,082 - $1,176 | 1013% |
| Triwest Health Alliance | $1,888 - $2,052 | 1768% |
| Cco, Inc. | $1,888 - $2,052 | 1768% |
| Focus Healthcare Mgmt, Inc | $1,888 - $2,052 | 1768% |
Consumer Guidance & Cost Commentary
For this ultrasound procedure at Menorah Medical Center in Overland Park, KS, the cash price is $2,627.00, which matches the facility's cash median. This rate is significantly higher than the state average, as indicated by a 5.4x markup compared to Medicare reimbursement levels. While commercial insurance plans like Amerigroup and Healthyblue have negotiated rates starting at $60, many other payers, including Cigna and Blue Cross Blue Shield, have negotiated rates ranging from $122 to $1,231. Patients with high-deductible plans should be aware that paying the cash price directly might be more cost-effective than using insurance, especially if the insurer's negotiated rate exceeds the cash price or if the patient has not yet met their deductible.
To minimize potential costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is also important to request a full itemized bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. If a patient receives a balance bill from an out-of-network provider, they should not pay immediately out of fear but instead dispute the charge with their insurer to request a No Surprises Act audit, ensuring they are not liable for unexpected differences between the provider's chargemaster and the allowed amount.