Ultrasound, abdomen (limited)
Facility: Osborne County Memorial Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $320
- Cash Discount Price: $300
- vs. Medicare Baseline: 3.00x 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 300% of the Medicare baseline (a markup of 200%). 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 | $268 | 251% |
| Health Partners Of Kansas | $304 | 285% |
| Wppa | $335 | 314% |
| Blue Cross Blue Shield | $346 | 324% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, representing an ultrasound of the abdomen at Osborne County Memorial Hospital, the facility's cash price is $300.00, which is lower than the gross charge of $353.00. This cash rate is notably higher than the Medicare benchmark of $106.81, reflecting the typical administrative markup found in commercial billing. While the facility is a Critical Access Hospital in Osborne, Kansas, with government-local ownership, the data does not provide specific county or state average comparisons for this procedure. However, patients should note that cash payments can sometimes be more cost-effective than insurance claims if the negotiated rate exceeds the cash price, particularly for those with high-deductible plans who may face out-of-pocket costs exceeding the cash rate.
Insurance payers for this service include UnitedHealthcare, Health Partners Of Kansas, Wppa, and Blue Cross Blue Shield, with negotiated rates ranging from $268 to $346 depending on the specific plan. These negotiated rates are generally higher than the cash price due to the administrative costs and contract structures inherent in commercial insurance. To minimize costs, patients are encouraged to verify their specific plan's allowed amount before scheduling and to explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. Additionally, since the facility is in-network, the No Surprises Act protects patients from balance billing for emergency or non-emergency services from out-of-network providers at this location, ensuring that the final charge aligns with the negotiated or cash rates rather than the full chargemaster.