CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Medicine Lodge Memorial Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $272
  • Cash Discount Price: $286
  • vs. Medicare Baseline: 2.55x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Medicine Lodge Memorial Hospital is $272. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $286. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.55x the Medicare baseline. Located in 710 N Walnut Street, Medicine Lodge, KS.
Cash / Self-Pay
$286

Average discount available for prompt cash payment at this facility.

Insurance Median
$272

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $286 (268%)
Insurance Median: $272 (255%)
Cash: $286 (268% of Medicare)
Ins. Median: $272 (255% of 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 255% of the Medicare baseline (a markup of 155%). 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $229 214%
Humana $260 243%
Aetna $265 - $286 248%
UnitedHealthcare $272 255%
Hpk-All Plans $272 255%
Medicaid / KanCare $286 268%

Consumer Guidance & Cost Commentary

For this ultrasound procedure, the cash price of $286.00 is the lowest rate available, while the median negotiated rate across insurance plans is $272.00. This means that for patients with high-deductible plans, paying cash upfront could actually result in a lower out-of-pocket cost than using insurance, as the negotiated rate exceeds the cash price. It is important to verify your specific plan's deductible status before scheduling, as you may still be responsible for the full $272.00 if you have not yet met your annual deductible. Additionally, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed if the bill is settled in full within a short timeframe.

The facility's pricing is significantly higher than the Medicare benchmark, which stands at $106.81 for this service. While commercial rates often average 200% to 300% of Medicare, the negotiated rate here is approximately 2.5 times the Medicare amount. If you receive a surprise bill from an out-of-network provider, you may be eligible for protection under the No Surprises Act, which bans balance billing for emergency care and non-emergency services at in-network facilities. If you do receive an unexpected balance bill, do not pay immediately; instead, request a formal itemized audit to identify any errors, unbundled codes, or services not rendered, and dispute the charge in writing to avoid unnecessary debt.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 710 N Walnut Street, Medicine Lodge, KS 67104
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals