Ultrasound, abdomen (limited)
Facility: Kansas Medical Center Llc
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $96
- Cash Discount Price: $187
- 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 |
|---|---|---|
| Medicaid / KanCare | $60 | 56% |
| Indian Health | $87 | 81% |
| Tricare | $87 | 81% |
| Ambetter / Centene | $96 | 90% |
| Medadv_Wellcare | $96 | 90% |
| Humana | $96 | 90% |
| Wppa | $96 - $153 | 90% |
| Blue Cross Blue Shield | $96 - $123 | 90% |
| Aetna | $149 | 140% |
| United | $191 | 179% |
| Three_Rivers | $193 | 181% |
Consumer Guidance & Cost Commentary
For this ultrasound of the abdomen at Kansas Medical Center Llc in Andover, the cash price is $187.00, which is lower than the facility's negotiated rates for most commercial payers. While the facility's cash rate is below the gross charge of $311.00, patients with high-deductible plans may find paying cash directly more cost-effective than using insurance, as the negotiated rates for many plans range from $96.00 to $193.00. To secure the lowest possible price, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final amount owed.
The facility's pricing is benchmarked against Medicare, which sets a baseline rate of $106.81 for this procedure. The cash price of $187.00 represents a 76% markup over the Medicare amount, while the median negotiated rate across payers is $96.00. Although the facility is a Proprietary Acute Care Hospital in Kansas, the data provided does not include specific comparisons to state or county average rates for this service. Consumers are advised to request an itemized bill to verify that no unbundled charges or services not rendered are included, ensuring the final invoice matches the agreed-upon negotiated or cash rate.