Ultrasound, abdomen (limited)
Facility: Kearny County Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $439
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 4.11x 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 411% of the Medicare baseline (a markup of 311%). 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 |
|---|---|---|
| Humana | $278 | 260% |
| Wps Gha - Mac J5 Part A | $439 | 411% |
| Community Care Health Plan Of | $439 | 411% |
| UnitedHealthcare | $439 | 411% |
| Blue Cross Blue Shield | $439 | 411% |
Consumer Guidance & Cost Commentary
For the ultrasound of the abdomen at Kearny County Hospital in Lakin, Kansas, the facility's negotiated rates are consistent across most major payers, including UnitedHealthcare, Blue Cross Blue Shield, and Humana, with a median paid amount of $92.00. While the gross charge is $439.00, the facility's negotiated rate of $439.00 aligns with the median negotiated amount reported for this service. It is important to note that commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures; however, for patients with high-deductible plans, paying the cash price directly can sometimes be more cost-effective if the insurance negotiated rate exceeds the cash price. Since the cash median is not available in this dataset, patients should verify current cash-pay or self-pay rates directly with the hospital to determine if upfront payment offers a lower total cost.
This service is provided by a Critical Access Hospital, which is a government-owned local facility located in the 67860 zip code. The Medicare benchmark for this procedure is $106.81, which serves as the objective baseline for evaluating pricing markups. While the data does not provide specific county or state average comparisons for this exact CPT code, the significant difference between the Medicare rate and the facility's gross charge highlights the importance of understanding the true cost of care. Patients are encouraged to request an itemized billing audit to ensure no errors exist and to confirm that the final bill reflects the negotiated or cash rate rather than the full chargemaster list price, which can be inflated to make discounts appear larger than they are.