Ultrasound, abdomen (limited)
Facility: Kansas City Orthopaedic Institute
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $254
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 2.38x 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 238% of the Medicare baseline (a markup of 138%). 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 |
|---|---|---|
| UnitedHealthcare | $98 | 92% |
| Aetna | $98 | 92% |
| Cigna | $100 | 94% |
| Blue Cross Blue Shield | $254 | 238% |
Consumer Guidance & Cost Commentary
For the ultrasound procedure "Ultrasound, abdomen (limited)" at Kansas City Orthopaedic Institute in Leawood, KS, the facility's negotiated rate is $254.00, which is significantly higher than the state average of $106.81 (Medicare amount). While commercial insurance plans like UnitedHealthcare, Aetna, Cigna, and Blue Cross Blue Shield have negotiated rates ranging from $98 to $254, patients should be aware that cash-pay options can sometimes be more affordable if their insurance negotiated rate exceeds the cash price. Although cash median data is not available for this specific code, it is always advisable to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid in full upfront.
This pricing structure highlights the difference between commercial negotiated rates and the federal Medicare benchmark, which serves as a more objective baseline for fair pricing. The facility's negotiated rate of $254.00 represents a substantial markup compared to the Medicare amount of $106.81, illustrating how commercial contracts can inflate costs beyond the true cost of care. If you are self-pay or have high-deductible plans, you may benefit from paying directly rather than relying on insurance, as the insurer's allowed amount could be higher than the cash price. To ensure you are not overcharged, always request an itemized bill before signing any consent waivers, and verify that the facility is billing you at the negotiated rate rather than the full chargemaster list price.