Ultrasound, abdomen (limited)
Facility: Lindsborg Community Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $509
- Cash Discount Price: $389
- vs. Medicare Baseline: 4.77x 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 477% of the Medicare baseline (a markup of 377%). 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 | $116 | 109% |
| Tricare | $261 | 244% |
| Coventry Mcr Adv | $264 | 247% |
| Cigna | $473 | 443% |
| Coventry Comm-All Other Plans | $500 | 468% |
| UnitedHealthcare | $500 | 468% |
| Multiplan-All Plans | $517 | 484% |
| Phcs Preferred-All Plans | $517 | 484% |
| Health Partners -All Plans | $528 | 494% |
| Century Health-All Plans | $528 | 494% |
| Wppa-All Plans | $528 | 494% |
| Coventry Wc | $528 | 494% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), Lindsborg Community Hospital in Lindsborg, KS, has a gross charge of $556.00. The facility's cash median rate is $389.00, which is lower than the negotiated rates paid by most insurance plans, ranging from $116 for Blue Cross Blue Shield to $528 for other carriers. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that cash payments can sometimes be more cost-effective than insurance claims, particularly if the patient's plan has a high deductible or if the negotiated rate exceeds the cash price. It is advisable to contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can further reduce the final amount owed.
The Medicare benchmark for this service is $106.81, serving as a baseline to evaluate the facility's pricing markup. Commercial negotiated rates average significantly higher than this federal rate, reflecting the administrative costs and contract dynamics inherent in insurance billing. Although specific county or state average data was not provided in the report, the disparity between the Medicare amount and the cash median suggests that paying out-of-pocket may offer substantial savings compared to standard insurance reimbursement. Consumers are encouraged to request an itemized billing audit to ensure all charges are accurate and to avoid potential balance billing issues, especially if receiving care from out-of-network providers or ancillary services.