Ultrasound, abdomen (limited)
Facility: Mercy Specialty Hospital Southeast Kansas
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $176
- Cash Discount Price: $552
- vs. Medicare Baseline: 1.65x 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 | $20 - $102 | 19% |
| Humana | $50 - $104 | 47% |
| Aetna | $50 - $102 | 47% |
| Provider Partners Health Plans Contracted [320450] | $53 | 50% |
| First Health Contracted [320128] | $57 | 53% |
| Blue Cross Blue Shield | $60 - $102 | 56% |
| UnitedHealthcare | $91 - $785 | 85% |
| Qual Choice Contracted [320325] | $102 | 95% |
| Halo Hcr Inc Hospice [20432] | $102 | 95% |
| Elara Caring Aspire Hospice [20433] | $102 | 95% |
| Kindful Hospice [20434] | $102 | 95% |
| Kindful Hospice Contracted [320434] | $102 | 95% |
| Mercy Mgd Behavioral Health Contracted [320259] | $102 | 95% |
| Cigna | $102 - $467 | 95% |
| Mercy Hospice Okc [20252] | $102 | 95% |
| Cross Timbers Hospice [20098] | $102 | 95% |
| Globalhealth Contracted [320145] | $102 | 95% |
| Medical Associates Health Contracted [320444] | $102 | 95% |
| Pace Of The Ozarks Contracted [320518] | $102 | 95% |
| Cherokee Nation Health Serv Contracted [320066] | $102 | 95% |
| Halo Hcr Inc Hospice Contracted [320432] | $102 | 95% |
| Tricare | $102 | 95% |
| Medicare (plans) | $102 | 95% |
| Dept Of Veteran Affairs Contracted [320106] | $104 | 97% |
| Centivo Contracted [320505] | $104 | 97% |
| United Medical Resources Contracted [320454] | $155 - $242 | 145% |
| Providrs Care Network Contracted [320484] | $197 | 184% |
| Health Systems Inc Contracted [320174] | $242 | 227% |
| Benefit Management Contracted [320052] | $242 | 227% |
| Point C Contracted [320238] | $242 - $637 | 227% |
| Insurance System Inc Contracted [320465] | $242 | 227% |
| Healthscope Contracted [320182] | $242 - $637 | 227% |
| Medica Contracted [320239] | $309 | 289% |
| Yuzu Health Contracted [320521] | $594 | 556% |
| Edison Health Solutions Contracted [320502] | $594 | 556% |
| Mercy Benefit Admin Contracted [320251] | $594 - $623 | 556% |
| Auxiant Contracted [320462] | $594 - $637 | 556% |
| Reflect Health Contracted [320492] | $594 | 556% |
| American Healthcare Alliance Contracted [320020] | $594 | 556% |
| Aither Health Contracted [320449] | $594 | 556% |
| Imagine 360 Contracted [320494] | $594 | 556% |
| Ebms Contracted [320493] | $594 | 556% |
| Show-Me Health Administrators Contracted [320483] | $623 | 583% |
| Healthlink Contracted [320179] | $637 | 596% |
| Preferred Health Plan Contracted [320522] | $637 | 596% |
| Federal Medical Center Contracted [320127] | $637 | 596% |
| Compcare Of The Ozarks Contracted [320437] | $671 | 628% |
| Workers Comp [20426] | $679 | 636% |
| Private Health Care Systems Contracted [320320] | $785 | 735% |
| Multiplan Contracted [320270] | $807 | 756% |
| Multiplan [20270] | $807 | 756% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), the gross charge at Mercy Specialty Hospital Southeast Kansas in Galena, KS is $849.00. While the facility offers a cash median price of $552.00, which is lower than the gross charge, the negotiated rates paid by insurance plans vary significantly, ranging from a low of $20 to a high of $807 depending on the payer. Notably, several major payers, including Medicaid/KanCare, Humana, and Aetna, have negotiated rates starting at $50, while others like UnitedHealthcare and Cigna have ranges extending up to $785 and $637 respectively. The Medicare benchmark for this service is $106.81, indicating that the cash price of $552.00 is approximately 5.1 times the Medicare rate, whereas the median negotiated rate across all payers is $176.00. Patients should be aware that while insurance plans provide a ceiling on charges, the actual amount paid to the patient often depends on their specific deductible status and plan coverage, which can result in out-of-pocket costs that exceed the cash price if the deductible has not been met.
To minimize potential costs, patients are encouraged to verify their specific plan's allowed amount before scheduling, as some commercial payers may negotiate rates higher than the cash price, making upfront payment a more economical option. The facility offers a prompt-pay discount for those who pay in full, which can reduce the bill by 20% to 50% and bypass the administrative overhead associated with insurance claims processing. Additionally, patients should