Ultrasound, abdomen (limited)
Facility: Ashland Health Center
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $182
- Cash Discount Price: $146
- vs. Medicare Baseline: 1.70x 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 |
|---|---|---|
| Blue Cross Blue Shield | $61 | 57% |
| Compalliance-All Plans | $146 | 137% |
| Health Partners Of Kansas-All Plans | $155 | 145% |
| Multiplan-All Plans | $178 | 167% |
| Medicaid / KanCare | $182 | 170% |
| Health Choice-All Plans | $182 | 170% |
| Medica Mcare - All Plans | $182 | 170% |
| Aetna | $182 | 170% |
| Medicare (plans) | $182 | 170% |
| UnitedHealthcare | $182 | 170% |
| Healthy Blue Mcr Adv - All Other Plans | $182 | 170% |
| Providers Care (Wppa)-All Plans | $273 | 256% |
Consumer Guidance & Cost Commentary
For the ultrasound procedure code 76705, Ashland Health Center in Ashland, KS, has a cash median price of $146.00, which is lower than the facility's negotiated rate of $182.00. While the facility is a Critical Access Hospital, the data does not provide specific county or state average comparisons for this code type. However, the cash price of $146.00 is notably lower than the Medicare benchmark of $106.81, indicating that for patients with high-deductible plans or those without insurance, paying cash directly may result in a lower out-of-pocket cost than using insurance, which typically negotiates rates at a markup above the Medicare baseline. Patients should verify their specific plan's deductible status before scheduling, as utilizing insurance could lead to higher charges if the deductible has not yet been met.
The facility's negotiated rates vary significantly by payer, ranging from $61.00 for Blue Cross Blue Shield to $273.00 for Providers Care (Wppa)-All Plans, with most major payers settling at the $182.00 median. To minimize costs, patients are encouraged to ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. Additionally, since over 80% of hospital bills contain errors, consumers should request a detailed, itemized bill before paying to ensure no services were double-billed or unbundled. If a patient receives a balance bill from an out-of-network provider, they may be entitled to protections under the No Surprises Act,