Ultrasound, abdomen (limited)
Facility: Clara Barton Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $446
- Cash Discount Price: $347
- vs. Medicare Baseline: 4.18x 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 418% of the Medicare baseline (a markup of 318%). 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 | $116 | 109% |
| 6 Degrees Health - All Plans | $347 | 325% |
| Wppa-All Plans | $397 | 372% |
| Phcs - All Plans | $446 | 418% |
| Aetna | $446 | 418% |
| UnitedHealthcare | $446 | 418% |
| Hlth Partners Of Ks-All Plans | $456 | 427% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), Clara Barton Hospital in Hoisington, KS, has a gross charge of $496.00. The facility's negotiated rates for in-network payers range from $116 to $456, with a median negotiated rate of $446.00. This facility is a Critical Access Hospital with a voluntary non-profit ownership structure. While the cash median price is $347.00, which is lower than the negotiated rates, patients should verify their specific plan's deductible status before assuming insurance will result in lower out-of-pocket costs. If a patient has a high-deductible plan that has not yet been met, paying the cash price of $347.00 upfront could be more cost-effective than the insurance negotiated rate of $446.00, provided the patient can afford the immediate payment.
The facility's pricing is evaluated against federal benchmarks, showing a variance of 4.2% versus the Medicare amount of $106.81. It is important to note that commercial negotiated rates often include administrative overhead and contract dynamics that can inflate the baseline price by 20% to 40% compared to the true cost of care. To ensure you are receiving the best possible rate, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% if paid in full upfront. Additionally, since over 80% of hospital bills contain errors, it is advisable to request a detailed, itemized billing audit before finalizing payment to identify any unbund