Ultrasound, abdomen (limited)
Facility: Great Plains Of Sabetha
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $380
- Cash Discount Price: $400
- vs. Medicare Baseline: 3.56x 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 356% of the Medicare baseline (a markup of 256%). 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 |
|---|---|---|
| Celtic Mcr Adv | $208 | 195% |
| Aetna | $210 - $404 | 197% |
| Celtic Comm Exchange-All Other Plans | $260 | 243% |
| Great West Healthcare-All Plans | $340 | 318% |
| UnitedHealthcare | $372 - $400 | 348% |
| Cigna | $380 | 356% |
| Humana | $380 | 356% |
| Century/Wppa/Providers-All Plans | $380 | 356% |
| Multiplan-Phcs-All Plans | $380 | 356% |
| Federated Mutual Ins-All Plans | $384 | 360% |
| Blue Cross Blue Shield | $400 | 374% |
| Medicaid / KanCare | $400 | 374% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), Great Plains Of Sabetha in Sabetha, KS, has a cash price of $400.00, which matches the facility's gross charge and the cash median. This rate is significantly higher than the state average, as indicated by a 3.6x multiplier compared to the Medicare benchmark of $106.81. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that commercial negotiated rates for this service range from $208 to $400 depending on the insurance plan. For individuals with high-deductible plans, paying the cash price of $400.00 upfront may be more cost-effective than using insurance, as some negotiated rates exceed the cash amount, and hospitals often offer prompt-pay discounts for self-pay patients.
The data shows that Medicaid/KanCare and Celtic Mcr Adv have the lowest negotiated rates at $208, while Blue Cross Blue Shield and UnitedHealthcare have the highest at $400. Since the cash price is already at the maximum gross charge, there is no room for further reduction through standard billing adjustments. To ensure you are receiving the best possible rate, it is recommended to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, patients should verify their specific plan's allowed amount and check for any self-pay or prompt-pay discounts directly with the hospital, as these can reduce the final cost even when insurance is involved.