Ultrasound, abdomen (limited)
Facility: Hodgeman County Health Center
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $356
- Cash Discount Price: $405
- vs. Medicare Baseline: 3.33x 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 333% of the Medicare baseline (a markup of 233%). 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 | $111 - $117 | 104% |
| UnitedHealthcare | $324 - $481 | 303% |
| Medicaid / KanCare | $324 - $506 | 303% |
| Humana | $324 | 303% |
| Triwest - All Plans | $324 | 303% |
| Aetna | $405 | 379% |
| First Health - All Plans | $455 | 426% |
| Wppa (Provdrscare) - All Plans | $481 | 450% |
| Health Partners - All Plans | $481 | 450% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, "Ultrasound, abdomen (limited)," Hodgeman County Health Center in Jetmore, Kansas, lists a gross charge of $506.00. The facility's cash median price is $405.00, which is notably lower than the state average for this service. While the facility is a Critical Access Hospital owned by the local government, patients should be aware that insurance negotiated rates vary significantly by payer. For instance, UnitedHealthcare and Medicaid/KanCare have negotiated ranges starting at $324, whereas Aetna and First Health have fixed negotiated rates of $405 and $455, respectively. In cases where a patient's insurance negotiated rate exceeds the cash price, paying out-of-pocket may result in lower overall costs, provided the patient can afford the upfront fee.
To maximize savings, patients should explicitly request "self-pay" or "prompt-pay" discounts before scheduling their appointment, as these upfront payment incentives can reduce the bill by 20% to 50%. It is important to avoid balance billing by ensuring the facility is in-network for your plan, as the No Surprises Act protects against unexpected out-of-network charges for emergency care and services at in-network facilities. If you receive an itemized bill, review it carefully for errors or unbundled codes, as over 80% of hospital bills contain mistakes that can be corrected through a formal written audit dispute. Finally, compare your facility's rates to the Medicare benchmark of $106.81; while commercial rates are typically higher due to administrative costs, the cash price of $405.00 remains a strong reference point for