Ultrasound, abdomen (limited)
Facility: Kansas Surgery & Recovery Center
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $98
- Cash Discount Price: $127
- 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 |
|---|---|---|
| Blue Cross Blue Shield | $65 - $96 | 61% |
| Aetna | $96 - $120 | 90% |
| UnitedHealthcare | $98 - $128 | 92% |
| Cigna | $128 | 120% |
Consumer Guidance & Cost Commentary
For this ultrasound procedure at Kansas Surgery & Recovery Center in Wichita, KS, the cash price is $127.00, which is nearly identical to the facility's negotiated rate of $98.00 and slightly lower than the gross charge of $128.00. While the facility's cash rate is competitive, it is important to note that commercial insurance negotiated rates can sometimes exceed cash prices due to administrative costs and contract structures; in such cases, paying out-of-pocket may result in lower out-of-pocket costs for patients with high-deductible plans. The Medicare benchmark for this service is $106.81, serving as a baseline to evaluate the facility's pricing markup, with fair pricing typically ranging between 120% and 150% of this amount.
Patients should be aware that 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, unexpected charges can still occur if ancillary services like labs or emergency physicians are out-of-network. To avoid surprise bills, consumers should request a full itemized CPT-coded bill before paying, as summary invoices often obscure individual line items and unbundled charges. Additionally, before scheduling, patients should explicitly ask the facility about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by 20% to 50% if paid in full upfront, bypassing the costly claims processing cycle that inflates insurance rates.