Ultrasound, abdomen (limited)
Facility: Community Memorial Healthcare, Inc.
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $366
- Cash Discount Price: $710
- vs. Medicare Baseline: 3.43x 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 343% of the Medicare baseline (a markup of 243%). 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 | $131 | 123% |
| Aetna | $326 - $532 | 305% |
| UnitedHealthcare | $406 | 380% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, "Ultrasound, abdomen (limited)," Community Memorial Healthcare, Inc. in Marysville, KS, lists a cash median price of $710.00, which matches the gross chargemaster rate. This cash price is significantly higher than the state average for this service, as indicated by the 3.4x multiplier relative to the Medicare benchmark of $106.81. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should note that commercial payers like Aetna and UnitedHealthcare have negotiated rates ranging from $326 to $532, which are lower than the cash price but subject to deductibles and copays.
Because commercial negotiated rates often include administrative overhead and may exceed the cash price for patients with high deductibles, it is advisable to verify your specific plan's allowed amount before scheduling. If you are self-pay, you should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can reduce the $710.00 cash median by 20% to 50% if paid upfront. Additionally, if you receive care from an out-of-network provider at this facility, be aware that the No Surprises Act protects you from balance billing for emergency and non-emergency services, and you should never sign away your rights to dispute such bills without reviewing the terms carefully.