Ultrasound, abdomen (limited)
Facility: Logan County Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $412
- Cash Discount Price: $120
- vs. Medicare Baseline: 3.86x 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 386% of the Medicare baseline (a markup of 286%). 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 | $131 | 123% |
| Humana | $255 | 239% |
| Health Partners - All Plans | $570 | 534% |
| Medicaid / KanCare | $600 | 562% |
Consumer Guidance & Cost Commentary
For this ultrasound procedure at Logan County Hospital in Oakley, KS, the facility's cash price of $120.00 is significantly lower than the median negotiated rates paid by major payers, which range from $131 for Blue Cross Blue Shield to $600 for Medicaid/KanCare. While the facility is a Critical Access Hospital with government-local ownership, the cash rate of $120.00 is notably lower than the state average for this service, offering a potential savings opportunity for patients with high-deductible plans or those without insurance. Because commercial insurance contracts often include administrative overheads that inflate the baseline price by 20% to 40%, paying the cash price directly can sometimes result in a lower out-of-pocket cost than the insurance negotiated rate, provided the patient's deductible has been met.
Patients should be aware that while the No Surprises Act protects against balance billing for emergency care and non-emergency services from out-of-network providers at in-network facilities, it is still prudent to request a prompt-pay discount before scheduling. Hospitals often offer self-pay or prompt-pay discounts of 20% to 50% for upfront payment, bypassing the costly claims processing cycle that inflates commercial rates. If you receive a bill that appears to include balance billing or unexpected ancillary charges, you should demand a full itemized CPT-coded audit rather than accepting a summary bill, as over 80% of hospital bills contain errors such as double-billing or unbundled codes. Always verify your deductible status and ask for a waiver of insurance submission if you intend to pay cash to ensure you are not inadvertently triggering an automatic claim that voids any potential discount.