Ultrasound, abdomen (limited)
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $330
- Cash Discount Price: $412
- vs. Medicare Baseline: 3.09x 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 309% of the Medicare baseline (a markup of 209%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $110 | 103% |
| UnitedHealthcare | $133 - $458 | 125% |
| Berkley Net-All Plans | $183 | 171% |
| Trustmark Health Benefits-All Plans | $202 | 189% |
| Aetna | $202 - $311 | 189% |
| Meritain Health-All Plans | $206 | 193% |
| Ambetter / Centene | $220 | 206% |
| Axa Equitable - All Plans | $252 | 236% |
| Pinnacol-All Plans | $256 | 240% |
| Medi-Share-All Plans | $261 | 244% |
| Presbyterian-All Plans | $279 | 261% |
| Kasb Work Comp - All Plans | $293 | 274% |
| The Kempton Group Admin-All Plans | $316 | 296% |
| Auxiant - All Plans | $321 | 301% |
| Gpha(Wppa)-All Other Plans | $321 | 301% |
| Wppa- All Plans | $325 | 304% |
| Providers Care Network- All Plans | $330 | 309% |
| Emc-All Plans | $330 | 309% |
| Sisco-All Plans | $330 | 309% |
| Gpha Employee Benefit Plan | $334 | 313% |
| Regional Care(Wppa)-All Plans | $344 | 322% |
| Employee Benefit-All Plans | $344 | 322% |
| First Health -All Plans | $348 | 326% |
| Triangle-All Plans | $348 | 326% |
| One Call Physician-All Plans | $353 | 330% |
| Blue Cross Blue Shield | $362 | 339% |
| Christian Hospital Aid - All Plans | $366 | 343% |
| Tricare | $366 | 343% |
| Humana | $394 | 369% |
| Luminare Health- All Plans | $403 | 377% |
| Cigna | $403 | 377% |
| Deseret Mutual(Uhis)-All Plans | $412 | 386% |
| Coresource-All Plans | $412 | 386% |
| Vaccn-All Plans | $421 | 394% |
| Hma Llc-All Plans | $435 | 407% |
| Wps Vapc-All Plans | $435 | 407% |
| Reserve National-All Plans | $435 | 407% |
| Medicaid / KanCare | $458 | 429% |
Consumer Guidance & Cost Commentary
For this ultrasound procedure, the facility's cash price of $412.00 is lower than the median negotiated rate of $330.00 paid by most insurance plans, which ranges from $110 to $458 depending on the carrier. While many commercial payers negotiate rates that exceed the cash price, patients with high-deductible plans may find paying the cash rate directly more cost-effective than facing a large deductible or coinsurance. To maximize savings, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed before insurance processing begins.
It is important to understand that commercial insurance rates often include administrative overhead and do not reflect the true cost of care, which is better represented by the Medicare benchmark of $106.81. Comparing the facility's cash rate to the Medicare amount reveals a significant markup, highlighting why relying on insurance negotiations can sometimes result in higher out-of-pocket costs than paying cash outright. Since over 80% of hospital bills contain errors, patients should request a detailed, itemized statement rather than accepting a summary bill, and they should verify their deductible status before scheduling to avoid unexpected charges.