Ultrasound, abdomen (limited)
Facility: Ellinwood District Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $116
- Cash Discount Price: $140
- vs. Medicare Baseline: 1.09x 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 |
|---|---|---|
| UnitedHealthcare | $116 | 109% |
| Cigna | $116 | 109% |
| Humana | $116 | 109% |
| Blue Cross Blue Shield | $116 | 109% |
| Aetna | $116 | 109% |
Consumer Guidance & Cost Commentary
For the Ultrasound, abdomen (limited) procedure at Ellinwood District Hospital, the negotiated rate of $116 aligns exactly with the cash price of $140 and the median paid amount of $116 across all five major payers, including UnitedHealthcare, Cigna, Humana, Blue Cross Blue Shield, and Aetna. This facility, a Critical Access Hospital in Ellinwood, KS, does not offer a lower cash-pay option than the negotiated rate, meaning patients with high-deductible plans may find paying the $116 negotiated amount directly more cost-effective than relying on insurance, as the insurance allowed amount matches the cash price. Since the facility is government-owned by a Hospital District or Authority, patients should verify if "self-pay" or "prompt-pay" discounts are available by contacting the billing department directly before scheduling, as these discounts can sometimes reduce the final cost even when insurance rates are high.
The Medicare benchmark for this service is $106.81, which serves as the objective baseline for evaluating pricing fairness. While the data provided does not include specific state or county average comparisons for this procedure, the facility's negotiated rate of $116 is consistent with the median paid across all major insurers, indicating a stable pricing structure without significant variation between payers. Patients should be aware that balance billing is generally prohibited for emergency care and non-emergency services at in-network facilities under the No Surprises Act, so they should not fear unexpected bills if they receive care within this network. To ensure accuracy, consumers should request an itemized bill to confirm that no unbundled codes or services not rendered are included, as over 80% of hospital bills contain