Ultrasound, abdomen (limited)
Facility: Kiowa County Memorial Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $169
- Cash Discount Price: $162
- vs. Medicare Baseline: 1.58x 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 |
|---|---|---|
| Blue Cross Blue Shield | $117 - $169 | 110% |
| UnitedHealthcare | $152 - $190 | 142% |
| Health Partners Of Ks-All Plans | $167 | 156% |
| Medica Prime Mcare Cost-All Plans | $169 | 158% |
| Humana | $169 | 158% |
| Aetna | $169 | 158% |
| Celtic Comml Exchange-All Other Plans | $169 | 158% |
| Medicaid / KanCare | $190 | 178% |
| Providrs Care/Wppa-All Plans | $285 | 267% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), the facility's cash price of $162.00 is lower than the negotiated rates paid by most major insurers, which range from $152.00 to $285.00 depending on the plan. While the facility's cash rate is slightly below the state average of $169.00, patients with high-deductible plans may find paying out-of-pocket initially more cost-effective, as the cash price is often lower than the insurer's allowed amount. It is important to note that the facility is a Critical Access Hospital in Greensburg, KS, and all listed payers, including Medicaid/KanCare, have negotiated rates that align closely with or exceed the cash price.
To minimize costs, patients should explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. Although the facility is government-owned locally, patients must be aware that balance billing is generally prohibited for emergency care under the No Surprises Act, though unexpected charges can still occur for out-of-network ancillary services. If a patient receives a bill, they should request a full itemized audit to verify that no services were unbundled or incorrectly charged, as over 80% of hospital bills contain errors. Comparing the facility's Medicare benchmark of $106.81 to the commercial rates reveals a significant markup, highlighting the value of securing the lowest possible rate through direct negotiation or cash payment.