Ultrasound, abdomen (limited)
Facility: Wilson Medical Center
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $186
- Cash Discount Price: $174
- vs. Medicare Baseline: 1.74x 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 |
|---|---|---|
| Blue Cross Blue Shield | $116 - $232 | 109% |
| UnitedHealthcare | $123 - $216 | 115% |
| Aetna | $123 - $232 | 115% |
| Tricare | $123 | 115% |
| Humana | $123 | 115% |
| Ambetter / Centene | $123 - $232 | 115% |
| Cigna | $186 | 174% |
| Mulitplan-All Plans | $213 | 199% |
| Health Partners-All Plans | $213 | 199% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), Wilson Medical Center in Neodesha, KS, lists a cash median price of $174.00, which is higher than the facility's negotiated median paid rate of $135.00. While 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 plan's negotiated rate exceeds the cash price. The data indicates a significant variance in allowed amounts across payers, with rates ranging from $116 to $232, suggesting that specific plan benefits heavily influence the final cost.
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, since the facility offers a cash median of $174.00, you may qualify for a prompt-pay discount by paying in full upfront, which can reduce administrative costs and improve cash flow for the provider. Always verify your deductible status and ask the hospital directly about self-pay or prompt-pay discounts prior to scheduling to avoid unexpected charges.