Ultrasound, abdomen (limited)
Facility: Saint Luke'S South Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $391
- Cash Discount Price: $670
- vs. Medicare Baseline: 3.66x 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 366% of the Medicare baseline (a markup of 266%). 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 |
|---|---|---|
| Medicaid / KanCare | $60 - $136 | 56% |
| Humana | $62 - $102 | 58% |
| Aetna | $62 - $1,061 | 58% |
| Transplants-Case Rates [5750] | $86 - $1,117 | 81% |
| UnitedHealthcare | $90 - $514 | 84% |
| Blue Cross Blue Shield | $105 - $839 | 98% |
| Cigna | $118 - $848 | 110% |
| Commercial-Contracted [8000] | $246 - $904 | 230% |
| First Health [5512] | $662 | 620% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), Saint Luke's South Hospital in Overland Park, KS, has a cash median price of $670.00, which is significantly lower than the facility's gross charge of $1,117.00. While the hospital's negotiated rates with major payers like Aetna and UnitedHealthcare range from $62 to $1,117, the cash price often represents a more affordable option for patients with high-deductible plans or those without insurance. It is important to note that commercial negotiated rates frequently exceed cash prices due to administrative overhead and contract structures, making direct comparison with the Medicare benchmark of $106.81 a more accurate measure of the facility's cost basis than comparing against the inflated chargemaster list.
Patients should proactively contact the hospital's billing department to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid upfront. Although the facility is located in Overland Park (ZIP 66213), the provided data does not include specific county or state average pricing for this procedure, so local comparisons cannot be made at this time. To ensure you are receiving the most accurate pricing, request a full itemized bill before scheduling any services to verify that all charges are correct and that no unnecessary services have been included.