Ultrasound, abdomen (limited)
Facility: Ellsworth County Medical Center
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $194
- Cash Discount Price: $215
- vs. Medicare Baseline: 1.82x 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 |
|---|---|---|
| Va Ccn-All Plans | $101 | 95% |
| Healthy Blue Mcr Adv | $101 | 95% |
| Triwest -All Plans | $101 | 95% |
| Humana | $101 - $204 | 95% |
| Blue Cross Blue Shield | $110 - $116 | 103% |
| UnitedHealthcare | $140 - $215 | 131% |
| Aetna | $194 | 182% |
| First Health - All Plans | $194 | 182% |
| Cigna | $204 | 191% |
| Medicaid / KanCare | $215 | 201% |
| Coventry Mcaid-All Plans | $215 | 201% |
| Healthy Blue Mcaid- All Other Plans | $215 | 201% |
| Providers Care-Wppa-All Plans | $322 | 301% |
Consumer Guidance & Cost Commentary
For the ultrasound procedure code 76705 at Ellsworth County Medical Center in Ellsworth, Kansas, the cash price is $215.00, which matches the facility's gross charge and the highest negotiated rate found among payers. This cash rate is significantly higher than the state average for this service, which is approximately $106.81 based on Medicare benchmarking. While commercial insurance plans typically negotiate rates between $101 and $322 depending on the carrier, patients with high-deductible plans may find paying the full cash price of $215.00 upfront to be more cost-effective than relying on insurance, as the negotiated allowed amounts often exceed the cash rate. It is important to verify your specific plan's deductible status before scheduling, as paying out-of-pocket can sometimes result in lower total out-of-pocket costs if your insurance would have required you to meet a high deductible first.
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, unexpected charges can still occur if ancillary services like labs or emergency physicians are out-of-network. To avoid these surprises, always request a full itemized bill before paying, as summary bills often obscure individual code costs and potential errors. If you receive a bill, you should dispute any charges that do not match the itemized statement or exceed the negotiated rate, and consider requesting a prompt-pay discount if you choose to pay directly. Additionally, you may be eligible for a self-pay or prompt-pay discount of up to 50% if you pay in full within 30 days, which can reduce the $215