Ultrasound, abdomen (limited)
Facility: Trego County Lemke Memorial Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $179
- Cash Discount Price: $196
- vs. Medicare Baseline: 1.68x 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 |
|---|---|---|
| Humana | $113 | 106% |
| Tricare | $122 | 114% |
| UnitedHealthcare | $143 - $230 | 134% |
| Medicaid / KanCare | $143 - $230 | 134% |
| Va Ccn - All Plans | $143 | 134% |
| Aetna | $143 - $207 | 134% |
| Ambetter / Centene | $157 | 147% |
| Blue Cross Blue Shield | $179 | 168% |
| Health Partners - All Plans | $218 | 204% |
| Healthy Blue Mcaid - All Plans | $230 | 215% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), the facility's cash median price of $196.00 is notably higher than the Medicare benchmark of $106.81, reflecting a markup of 170% above the federal baseline. While the facility's negotiated rates with insurance payers range from $113 to $230, these amounts often exceed the cash price, meaning patients with high-deductible plans might save money by paying the cash rate directly. It is important to note that the facility, Trego County Lemke Memorial Hospital, is a Critical Access Hospital in Wakeeney, KS, and while specific county or state average data was not provided in this report, patients should always verify if their specific insurance plan's negotiated rate is lower than the cash option before scheduling.
Patients should proactively inquire about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% when paid upfront, bypassing the administrative costs associated with insurance claims processing. Since the facility is a government-owned local entity, there may be additional financial assistance available, but patients must request this information before check-in to avoid automatic claims submission that could void cash discounts. If you receive a bill, always request a full itemized statement to review every line item, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered, and disputing these in writing is the most effective way to reduce medical debt.