Ultrasound, abdomen (limited)
Facility: Stanton County Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $234
- Cash Discount Price: $560
- vs. Medicare Baseline: 2.19x 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 219% of the Medicare baseline (a markup of 119%). 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 - $549 | 116% |
| Healthy Blue Mcaid | $207 - $578 | 194% |
| Healthy Blue Mcr Adv - All Other Plans | $238 - $566 | 223% |
Consumer Guidance & Cost Commentary
For this ultrasound of the abdomen at Stanton County Hospital in Johnson, KS, the cash price is $560, which matches the facility's median paid amount. While the Medicare benchmark for this service is $106.81, commercial insurance negotiated rates vary significantly by plan. Blue Cross Blue Shield offers rates ranging from $124 to $549 across four plans, Healthy Blue Mcaid ranges from $207 to $578 across two plans, and Healthy Blue Mcr Adv ranges from $238 to $566 across two plans. Although the facility is a Critical Access Hospital with government-local ownership, patients should note that cash payments can sometimes be more cost-effective than using insurance if their deductible has not been met or if the negotiated rate exceeds the cash price.
To minimize costs, patients should verify their specific plan's allowed amount before scheduling, as in-network rates can differ widely even within the same insurer. It is also important to ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid upfront, bypassing the administrative overhead of insurance claims. Finally, if you receive a bill, request a full itemized statement to review every code and ensure no services were billed that were not rendered, as over 80% of hospital bills contain errors that can be corrected through a formal written audit.