Ultrasound, abdomen (limited)
Facility: Lane County Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $380
- Cash Discount Price: $380
- vs. Medicare Baseline: 3.56x 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 356% of the Medicare baseline (a markup of 256%). 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 |
|---|---|---|
| Aetna | $342 - $361 | 320% |
| UnitedHealthcare | $342 - $380 | 320% |
| Healthy Blue Mcaid | $380 | 356% |
| Healthy Blue Mcr Adv - All Other Plans | $380 | 356% |
| Medicaid / KanCare | $380 - $418 | 356% |
| Wppa Providers-All Plans | $570 | 534% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), Lane County Hospital in Dighton, KS, has a cash price of $380.00, which matches the facility's negotiated rate and the median paid amount. This cash price is significantly higher than the Medicare benchmark of $106.81, indicating a markup of 3.6 times the federal rate. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients should note that commercial insurance rates for this service range from $342 to $570 depending on the payer. For individuals with high-deductible plans, paying the $380 cash price upfront may be more cost-effective than using insurance, as the negotiated rates often exceed the cash price due to administrative overheads.
To minimize costs, patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts before scheduling, as these can reduce the bill by 20% to 50% by bypassing claims processing fees. It is also important to request an itemized billing audit before paying, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that could lower the total charge. Finally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still review their specific plan details to ensure they are not subject to unexpected charges for ancillary services.