Ultrasound, abdomen (limited)
Facility: Hospital District #6 Patterson Health Center
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $116
- Cash Discount Price: $154
- vs. Medicare Baseline: 1.09x 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 |
|---|---|---|
| UnitedHealthcare | $32 - $350 | 30% |
| Blue Cross Blue Shield | $110 - $116 | 103% |
| Providers Care (Wppa)-All Plans | $612 | 573% |
Consumer Guidance & Cost Commentary
For this ultrasound of the abdomen at the Hospital District #6 Patterson Health Center in Anthony, KS, the commercial negotiated rates range from $32 to $350 depending on your specific insurance plan, with a median negotiated amount of $116. This facility is a Critical Access Hospital owned by the government, and its pricing is benchmarked against Medicare, which sets the standard reimbursement at $106.81. While the facility's cash price of $154 is higher than the Medicare rate, it is important to note that commercial negotiated rates often exceed cash prices due to administrative costs and contract structures. If you have a high-deductible plan where your out-of-pocket costs are currently high, paying the cash price of $154 upfront might be more cost-effective than using insurance, which could result in a higher allowed amount once your deductible is met.
Before scheduling, it is crucial to verify your specific plan's allowed amount, as in-network rates can vary significantly even within the same facility. The data shows a wide range of payer rates, with UnitedHealthcare plans ranging from $32 to $350, while Blue Cross Blue Shield plans are fixed at $110 to $116. To minimize costs, you should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if settled in full before or shortly after the service. Additionally, ensure you request an itemized bill rather than a summary invoice, as hospitals may include unbundled charges or services not rendered that inflate the total. Always confirm whether your specific procedure is subject to the No Surprises Act protections to