Ultrasound, abdomen (limited)
Facility: University Of Ks Hlth System Great Bend Campus
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $261
- Cash Discount Price: $133
- vs. Medicare Baseline: 2.44x 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 244% of the Medicare baseline (a markup of 144%). 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 |
|---|---|---|
| Workers Comp [503999901] | $98 | 92% |
| Ku Athletics [503200094] | $98 | 92% |
| UnitedHealthcare | $98 | 92% |
| Medicare (plans) | $100 | 94% |
| Allwell [503200078] | $101 | 95% |
| Blue Cross Blue Shield | $101 | 95% |
| Triwest [503201703] | $103 | 96% |
| Humana | $103 | 96% |
| Tricare | $103 | 96% |
| Centurion [5032000966] | $127 | 119% |
| Ambetter / Centene | $142 | 133% |
| Hchsync Centrus Health Direct [503999916] | $199 - $232 | 186% |
| Fort Hays State Student Athletes [5032000960] | $205 | 192% |
| Occunet [503999930] | $205 | 192% |
| 6 Degrees Health [503999050] | $244 | 228% |
| Alt Wppa [5032000964] | $279 | 261% |
| Wppa [503200056] | $279 | 261% |
| Meritain Health [503200039] | $279 - $398 | 261% |
| Advanced Medical Pricing Solutions [503301513] | $309 | 289% |
| Alt Carelon Behavioral Health [503200905] | $332 | 311% |
| Php [503200005] | $398 | 373% |
| Allied National [503999937] | $398 | 373% |
| Aha-Healthcare Preferred [503200050] | $398 | 373% |
| Cigna | $398 - $531 | 373% |
| Alt Meritain Health [503999911] | $398 | 373% |
| National Assn Letter Carriers [503200019] | $398 | 373% |
| First Health [5032000110] | $398 | 373% |
| Aetna | $398 | 373% |
| Correct Care Solutions [50311253] | $465 | 435% |
| Usa Managed Care [503999030] | $598 | 560% |
Consumer Guidance & Cost Commentary
For the ultrasound procedure code 76705 (Ultrasound, abdomen), the University Of Ks Hlth System Great Bend Campus has a gross charge of $664.00. While the facility's cash median price is $133.00, commercial insurance negotiated rates vary significantly, ranging from $98 to $598 depending on the payer. It is important to note that these negotiated rates often exceed the cash price due to administrative costs and contract structures; for instance, the median negotiated rate across payers is $261.00. Patients with high-deductible plans may find it financially advantageous to pay the lower cash price of $133.00 directly, as their insurance might otherwise pay a higher negotiated amount that leaves them responsible for the remaining deductible. Additionally, the facility offers a prompt-pay discount for upfront payments, which can further reduce the out-of-pocket cost compared to standard billing cycles.
When evaluating the cost relative to the national standard, this facility's Medicare benchmark rate is $106.81, which serves as the objective baseline for pricing. The facility's cash rate of $133.00 is approximately 2.4 times the Medicare amount, while the median negotiated rate of $261.00 represents a higher markup typical of commercial contracts. Although specific state or county average data was not provided in the source information, patients should be aware that commercial rates frequently range between 200% and 300% of the Medicare benchmark, whereas fair pricing is often defined as 120% to 150%. To ensure you are receiving the best possible rate, it is recommended to