Ultrasound, abdomen (limited)
Facility: Stafford County Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $197
- Cash Discount Price: $197
- vs. Medicare Baseline: 1.84x 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 |
|---|---|---|
| Health Partners-All Plans | $187 | 175% |
| Medica Mcr- All Plans | $197 | 184% |
| UnitedHealthcare | $197 | 184% |
| Humana | $197 | 184% |
| Va Ccn-All Plans | $197 | 184% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), Stafford County Hospital lists a consistent cash price of $197.00 across all five payers, with no variation between the low and high negotiated rates. This uniformity suggests that the facility is not applying different discounts based on payer type, and the cash price aligns exactly with the median negotiated amount. While the data does not provide specific county or state average figures for comparison, the facility is a Critical Access Hospital in Stafford, KS, and operates under government-local ownership, which often influences pricing structures to remain competitive within the region.
The Medicare benchmark for this service is $106.81, indicating that the facility's listed rate of $197.00 represents a markup of 1.8 times the Medicare amount. Although commercial rates often average 200% to 300% of Medicare, the fact that this facility's cash and negotiated rates are identical suggests a transparent pricing model where patients with high-deductible plans might find the cash price advantageous if their insurance allowed amount exceeds $197.00. Patients are encouraged to verify their specific plan's allowed amount before scheduling, as paying the full cash price upfront could result in immediate savings if their insurance coverage is lower than the facility's fixed rate.