Ultrasound, abdomen (limited)
Facility: Stevens County Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $190
- Cash Discount Price: $200
- vs. Medicare Baseline: 1.78x 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 |
|---|---|---|
| Humana | $73 - $194 | 68% |
| Aetna | $75 - $525 | 70% |
| Blue Cross Blue Shield | $124 - $131 | 116% |
| First Health - All Plans | $177 - $472 | 166% |
| Wppa - All Plans | $187 - $499 | 175% |
| Medicaid / KanCare | $197 - $525 | 184% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), Stevens County Hospital in Hugoton, KS, lists a cash price of $200.00, which matches the cash median for this procedure in the region. While the facility's negotiated rates with commercial payers range from $73 to $525, the cash price remains the lowest option available. It is important to note that for patients with high-deductible plans, paying the cash price of $200.00 upfront can be more cost-effective than relying on insurance, as the negotiated rates often exceed the cash amount. Additionally, patients should verify with the hospital for potential "self-pay" or "prompt-pay" discounts, which can further reduce the final bill by bypassing administrative fees associated with insurance claims.
When evaluating the value of this service, it is critical to compare rates against the Medicare benchmark rather than the hospital's gross chargemaster. The Medicare amount for this code is $106.81, and the facility's cash rate of $200.00 represents a markup of 1.8 times the Medicare rate. This aligns with the industry standard where fair pricing is typically defined as 120% to 150% of Medicare, though commercial negotiated rates often average 200% to 300% of the Medicare baseline. To ensure you are not overpaying, we recommend requesting an itemized billing audit to confirm that no unbundled codes or services not rendered are included in the final statement, as over 80% of hospital bills contain errors that can be corrected.