Ultrasound, abdomen (limited)
Facility: Hiawatha Community Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $574
- Cash Discount Price: $737
- vs. Medicare Baseline: 5.37x 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 537% of the Medicare baseline (a markup of 437%). 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 | $124 - $131 | 116% |
| UnitedHealthcare | $273 - $633 | 256% |
| Aetna | $273 - $596 | 256% |
| Humana | $275 | 257% |
| Ambetter / Centene | $327 | 306% |
| Centrus Health Direct - All Plans | $553 | 518% |
| Oscar - All Plans | $553 | 518% |
| Preferred Hlth - All Plans | $663 | 621% |
| Cigna | $700 | 655% |
| Wppa Providrs Care - All Plans | $700 | 655% |
| Multiplan - All Plans | $715 | 669% |
| Midlands Choice - All Plans | $715 | 669% |
| Healthy Blue Mcaid - All Plans | $737 | 690% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, "Ultrasound, abdomen (limited)," Hiawatha Community Hospital in Hiawatha, KS, lists a gross charge of $737.00. While the facility offers a cash median price of $737.00, commercial insurance plans typically negotiate lower rates, with the median negotiated amount being $574.00. It is important to note that for patients with high-deductible plans, paying the cash price directly can sometimes be more cost-effective than using insurance, as the insurer's allowed amount may exceed the cash rate. Additionally, patients should verify if the hospital offers "self-pay" or "prompt-pay" discounts, which can further reduce the final bill if paid in full upfront.
When comparing this facility's pricing to broader benchmarks, the cash median of $737.00 is significantly higher than the Medicare benchmark of $106.81, reflecting the standard commercial markup. However, the median negotiated rate of $574.00 provides a more realistic expectation for insured patients. Consumers should be aware that while the No Surprises Act protects against balance billing for emergency care at in-network facilities, unexpected charges can still occur from out-of-network ancillary services like labs or emergency physicians. To avoid these surprises, patients should request a full itemized bill before paying and dispute any errors formally in writing, as over 80% of hospital bills contain mistakes that can be corrected.