Ultrasound, abdomen (limited)
Facility: Kiowa District Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $270
- Cash Discount Price: $229
- vs. Medicare Baseline: 2.53x 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 253% of the Medicare baseline (a markup of 153%). 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 |
|---|---|---|
| Tricare | $112 | 105% |
| Blue Cross Blue Shield | $116 | 109% |
| Healthchoice-All Plans | $224 | 210% |
| UnitedHealthcare | $229 - $286 | 214% |
| Health Partners Of Ks-All Plans | $252 | 236% |
| Humana | $258 | 242% |
| Gbs Insurance - All Plans | $269 | 252% |
| Multiplan-All Plans | $269 | 252% |
| Aetna | $272 | 255% |
| Triwest-All Plans | $272 | 255% |
| Medicare (plans) | $272 | 255% |
| Medicaid / KanCare | $286 | 268% |
| Providers Care (Wppa)-All Plans | $429 | 402% |
| Liberty Healthshare-All Plans | $462 | 433% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), Kiowa District Hospital in Kiowa, KS, has a cash median price of $229.00, which is lower than the facility's negotiated median paid rate of $269.00. This service is billed at a 2.5x markup relative to the Medicare amount of $106.81, reflecting the typical administrative and cost structures inherent in commercial billing. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients should be aware that cash-pay options can sometimes result in lower out-of-pocket costs than insurance negotiated rates, particularly for those with high-deductible plans where the insurer's allowed amount may exceed the cash price.
The facility offers a range of negotiated rates across 14 payers, with the lowest allowed amount being $112 from Tricare and the highest at $462 from Liberty Healthshare-All Plans. Because commercial rates often include administrative overhead and contract dynamics that inflate the baseline price, it is advisable to request a prompt-pay discount if paying in full upfront, which can reduce the bill by 20% to 50%. Before scheduling, patients should verify their specific plan's allowed amount and consider requesting a self-pay classification to avoid automatic claims submission that might void potential cash discounts. Additionally, if a detailed itemized bill is received, consumers should review it for unbundled codes or services not rendered to ensure accuracy, as over 80% of hospital bills contain errors that can be corrected through a formal written audit dispute.