Ultrasound, abdomen (limited)
Facility: Rawlins County Health Center
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $226
- Cash Discount Price: $221
- vs. Medicare Baseline: 2.12x 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 212% of the Medicare baseline (a markup of 112%). 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 | $117 | 110% |
| UnitedHealthcare | $139 - $257 | 130% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, "Ultrasound, abdomen (limited)," Rawlins County Health Center in Atwood, KS, lists a cash median price of $221.00 and a median negotiated rate of $226.00. This cash price is notably lower than the facility's Medicare benchmark of $106.81, indicating a markup of 2.1 times the federal baseline. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial insurance contracts often result in higher out-of-pocket costs than self-pay options. In this specific case, the cash rate is slightly lower than the negotiated average, but patients with high-deductible plans may still find the insurance route beneficial if their plan's deductible has already been met, as the negotiated rate serves as a contractual ceiling for in-network coverage.
The pricing data reflects two payers, Blue Cross Blue Shield and UnitedHealthcare, with negotiated rates ranging from $117 to $257 depending on the specific plan. It is important to note that the "low" and "high" figures represent the range of allowed amounts across different plans rather than a single average, meaning individual savings will vary. To maximize financial savings, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the total bill by 20% to 50% when paid upfront. Additionally, since over 80% of hospital bills contain errors, patients should request a full itemized statement before making any payment to ensure no unbundled codes or services not rendered are included in the final charge.