Ultrasound, abdomen (limited)
Facility: Wichita County Health Center
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $519
- Cash Discount Price: $455
- vs. Medicare Baseline: 4.86x 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 486% of the Medicare baseline (a markup of 386%). 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 |
|---|---|---|
| Medicaid / KanCare | $469 | 439% |
| UnitedHealthcare | $569 | 533% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, "Ultrasound, abdomen (limited)," Wichita County Health Center in Leoti, KS, lists a cash median price of $455.00, which is lower than the facility's negotiated rates of $519.00 and the median paid by UnitedHealthcare at $469.00. While the facility is a Critical Access Hospital with government-local ownership, patients should be aware that cash payments can sometimes be more cost-effective than using insurance, particularly if your plan has a high deductible or if the insurer's negotiated rate exceeds the cash price. It is advisable to contact the hospital directly to confirm if "self-pay" or "prompt-pay" discounts are available before scheduling, as these upfront incentives can further reduce the final amount owed.
This service is subject to federal protections under the No Surprises Act, which prohibits balance billing for out-of-network providers at in-network facilities, though patients should still review their itemized bills to ensure no unbundled codes or services not rendered are included. When evaluating the cost, it is important to compare rates against the Medicare benchmark of $106.81 rather than the facility's gross charge of $569.00, as the latter is inflated to make discounts appear larger. Given that commercial rates often average 200% to 300% of Medicare, the $455.00 cash rate represents a significant reduction from the gross charge, but verifying the exact allowed amount with your specific insurance plan remains the most reliable way to determine your out-of-pocket responsibility.