Ultrasound, abdomen (limited)
Facility: St Luke Hospital & Living Center
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $334
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 3.13x 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 313% of the Medicare baseline (a markup of 213%). 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 |
|---|---|---|
| UnitedHealthcare | $334 | 313% |
| Va Ccn | $334 | 313% |
| Humana | $334 | 313% |
| Bluestem Pace | $334 | 313% |
| Kansas Department Of Health And Environment | $334 | 313% |
| Blue Cross Blue Shield | $334 | 313% |
| Ambetter / Centene | $337 | 316% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), the facility's negotiated rate is $334, which is significantly lower than the $655 gross charge. This negotiated amount aligns perfectly with the lowest and highest reported rates across all seven payers, including UnitedHealthcare, Humana, and Blue Cross Blue Shield. While the Medicare benchmark for this service is $106.81, the negotiated rate represents a substantial markup compared to the federal baseline. For patients with high-deductible plans, it is important to note that paying cash directly could sometimes be more cost-effective than using insurance, as the insurance negotiated rate often exceeds the cash price. However, since the cash median is not available in this dataset, patients should contact St Luke Hospital & Living Center directly to inquire about self-pay or prompt-pay discounts before scheduling.
This procedure is billed at a Critical Access Hospital in Marion, KS, and the facility is owned by a Government Hospital District. The data reflects pricing for the 2026-06 vintage, showing consistent payment amounts of $334 to $337 across all listed payers. Because the negotiated rate is uniform across all insurers, there is no variation in allowed amounts based on the specific plan selected. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, they should still request an itemized bill to verify that all charges are accurate and that no unbundled codes or services not rendered have been included. If any discrepancies appear, a formal written dispute should be sent to the billing supervisor rather than settling verbally.