Ultrasound, abdomen (limited)
Facility: Goodland Regional Medical Center
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $212
- Cash Discount Price: $212
- vs. Medicare Baseline: 1.98x 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.
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 | $117 | 110% |
| Wppa | $136 - $522 | 127% |
| UnitedHealthcare | $144 - $522 | 135% |
Consumer Guidance & Cost Commentary
For this Ultrasound, abdomen (limited) procedure at Goodland Regional Medical Center, the cash median rate is $212. This facility is classified as a Critical Access Hospital with government-local ownership and holds a rating of 2 stars. While the facility lists a gross charge of $235, the median negotiated rate is $212, which is notably lower than the gross amount but remains higher than the Medicare amount of $106.81. Patients should be aware that cash-pay options can sometimes be more cost-effective than insurance claims, particularly for those with high-deductible plans where the insurer's allowed amount might exceed the cash price.
The data indicates that commercial payers have negotiated rates ranging from $117 to $522 depending on the specific plan, with Blue Cross Blue Shield showing a consistent rate of $117 and major networks like Wppa and UnitedHealthcare showing a range between $136 and $522. Since the median negotiated rate of $212 exceeds the Medicare benchmark, patients might save money by paying directly, though they should verify if their specific plan allows for out-of-network cash rates. To minimize costs, consumers are encouraged to ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can bypass standard administrative billing cycles. Additionally, if a patient receives a bill that includes charges not rendered or services that were bundled incorrectly, they should request a formal itemized audit to ensure all CPT codes correspond exactly to the care received.