Ultrasound, abdomen (limited)
Facility: Grisell Memorial Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $235
- Cash Discount Price: $257
- vs. Medicare Baseline: 2.20x 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 220% of the Medicare baseline (a markup of 120%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $110 | 103% |
| UnitedHealthcare | $201 - $270 | 188% |
| Medicaid / KanCare | $270 | 253% |
| Humana | $270 | 253% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), Grisell Memorial Hospital in Ransom, KS, lists a cash median price of $257.00, which is slightly lower than the facility's negotiated median paid rate of $270.00. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients should be aware that cash-pay options can sometimes be more cost-effective than insurance claims, particularly for those with high-deductible plans where the insurer's negotiated rate might exceed the cash price. The data shows a significant variance in allowed amounts across payers, ranging from $110 for Blue Cross Blue Shield to $270 for Medicaid and Humana, highlighting the importance of verifying your specific plan's allowed amount before scheduling to avoid unexpected balance billing.
When reviewing your bill, it is crucial to request a full itemized statement rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If you receive a balance bill for the difference between the provider's chargemaster and your insurance allowed amount, you may be protected under the No Surprises Act, which bans balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities. Additionally, you should inquire about prompt-pay discounts, which can reduce your total cost by 20% to 50% if you settle the bill upfront, effectively bypassing the administrative costs and delays associated with the insurance claims process.