CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Minneola District Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $127
  • Cash Discount Price: $123
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Minneola District Hospital is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.19x the Medicare baseline. Located in 212 Main, Minneola, KS.
Cash / Self-Pay
$123

Average discount available for prompt cash payment at this facility.

Insurance Median
$127

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $123 (115%)
Insurance Median: $127 (119%)
Cash: $123 (115% of Medicare)
Ins. Median: $127 (119% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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 $26 - $160 24%
Humana $26 - $107 24%
Va Community Care Program-All Plans $26 - $107 24%
Medicaid / KanCare $70 - $160 66%
Aetna $70 - $160 66%
Providrs Care Network-All Plans $70 - $136 66%
Blue Cross Blue Shield $117 110%
Corporate Plan Management-All Plans $136 127%
Preferred Health Care (Coventry)-All Other Plans $144 135%
Triwest-All Plans $144 135%
Health Partners Of Kansas-All Plans $152 142%
Phc (Coventry) Leased Network $152 142%

Consumer Guidance & Cost Commentary

For the CPT code 76705, Ultrasound, abdomen (limited), Minneola District Hospital in Kansas reported a cash median price of $123.00, which is lower than the facility's negotiated median paid rate of $144.00. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rates exceed this amount. It is important to note that commercial negotiated rates often include administrative overhead and can be significantly higher than cash prices; for instance, the gross charge of $175.00 represents the full list price before any discounts. Consumers should verify their specific plan's allowed amount before scheduling, as in-network rates vary widely among the 12 payers listed, ranging from $26 to $160 depending on the carrier and plan type.

To ensure you are not overcharged, always request an itemized bill before paying, as summary invoices can obscure individual line items and potential errors. If you receive a balance bill for services rendered at an in-network facility, such as out-of-network ancillary services, you may be entitled to protections under the No Surprises Act, which bans balance billing for emergency and non-emergency care. Additionally, ask the billing department about prompt-pay discounts, which can reduce the total cost by 20% to 50% if paid in full upfront, bypassing the costly insurance claims cycle. Since Medicare rates for this service are $106.81, comparing your final bill to this benchmark rather than the hospital's gross chargemaster provides a clearer picture of fair pricing and helps identify any

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 212 Main, Minneola, KS 67865
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals