Ultrasound, abdomen (limited)
Facility: Kansas Heart Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $114
- Cash Discount Price: $111
- vs. Medicare Baseline: 1.07x 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 |
|---|---|---|
| Wppa - All Plans | $46 - $96 | 43% |
| Tricare | $87 | 81% |
| Medicaid / KanCare | $96 - $240 | 90% |
| UnitedHealthcare | $96 - $240 | 90% |
| Blue Cross Blue Shield | $96 - $240 | 90% |
| Humana | $96 | 90% |
| Celtic Mcr Adv | $96 | 90% |
| Multiplan - All Plans | $103 - $216 | 96% |
| Aetna | $111 - $240 | 104% |
| Soonerselect Mcaid - All Plans | $114 - $240 | 107% |
| Celtic Mcaid - All Other Plans | $114 - $240 | 107% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), Kansas Heart Hospital in Wichita, KS, has a gross charge of $177.00. The facility's cash median price is $111.00, which is lower than the state average of $114.00. While commercial insurance negotiated rates range from $46 to $240 depending on the payer, patients with high-deductible plans may find paying the cash price directly more cost-effective if their insurance allowed amount exceeds $111.00. It is important to note that commercial rates often include administrative overhead and do not reflect the true cost of care, which is better represented by the Medicare benchmark of $106.81.
Patients should be aware that commercial insurance rates can sometimes be higher than cash prices due to multi-layered administrative structures and contract dynamics. If you are self-paying, ask the hospital for "self-pay" or "prompt-pay" discounts, which can further reduce the bill. Additionally, if you receive care from an out-of-network provider, you may face balance billing for the difference between the provider's full charge and your insurance allowed amount. To avoid unexpected costs, always request a full itemized bill before paying, as summary bills often obscure individual charges. Disputing errors in writing is the most effective way to reduce medical debt, as over 80% of hospital bills contain errors.