Ultrasound, abdomen (limited)
Facility: Kansas Spine & Specialty Hospital, Llc
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $96
- Cash Discount Price: $251
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| Humana | $94 | 88% |
| UnitedHealthcare | $96 - $116 | 90% |
| Blue Cross Blue Shield | $96 | 90% |
| Providrs Care Network | $96 | 90% |
| Aetna | $96 - $120 | 90% |
| United Mine Workers Of America | $96 | 90% |
| Lantern Specialty Care | $153 | 143% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), at Kansas Spine & Specialty Hospital, Llc in Wichita, KS, the facility's cash median price is $251.00. This cash rate is significantly lower than the facility's gross charge of $387.00 and represents a 20% discount compared to the Medicare benchmark of $106.81, which serves as the objective baseline for fair pricing. While the facility is a Physician-owned Acute Care Hospital, patients should note that commercial insurance negotiated rates vary widely; for instance, UnitedHealthcare plans range from $96 to $116, whereas Lantern Specialty Care charges a fixed $153. Because insurance negotiated rates often include administrative overhead and can exceed cash prices, patients with high-deductible plans may find paying the cash median of $251.00 upfront more cost-effective than relying on insurance, provided they verify their specific plan's allowed amount before scheduling.
To maximize savings, consumers should proactively request self-pay or prompt-pay discounts before check-in, as these upfront payment incentives can bypass costly claims processing and reduce administrative fees. It is crucial to avoid assuming that being in-network guarantees the lowest possible price, as different payers have distinct contract ceilings; for example, United Mine Workers Of America pays a flat $96, while Aetna plans range up to $120. Additionally, patients should insist on receiving an itemized billing audit rather than accepting a summary bill, as over 80% of hospital invoices contain errors such as unbundled codes or charges for services not rendered. By comparing the facility's rates directly to the