Ultrasound, abdomen (limited)
Facility: Scott County Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $688
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 6.44x 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 644% of the Medicare baseline (a markup of 544%). 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 | $60 - $726 | 56% |
| Blue Cross Blue Shield | $131 | 123% |
| Humana | $321 | 301% |
| Wppa | $458 - $1,200 | 429% |
| Aetna | $688 | 644% |
Consumer Guidance & Cost Commentary
For this ultrasound procedure at Scott County Hospital in Scott City, KS, the facility's negotiated rates range from $60 to $1,200 depending on the insurance carrier, with a median negotiated amount of $688. This commercial rate is significantly higher than the Medicare benchmark of $106.81, reflecting the typical markup found in private insurance contracts. While the facility is a Critical Access Hospital with a voluntary non-profit ownership structure, patients should be aware that cash payments are not listed in the data; however, under the prompt-pay principle, asking for a self-pay or prompt-pay discount before scheduling can often result in substantial savings compared to the insurance negotiated rate, especially if your plan has a high deductible.
It is important to understand that commercial insurance rates often exceed cash prices due to administrative costs and contract dynamics, meaning paying out-of-pocket might be more economical for some patients. Since the data does not provide specific county or state average comparisons for this code, patients should verify their specific plan's allowed amount directly with their insurer to avoid balance billing if they are out-of-network. If you receive a bill, always request a full itemized audit to ensure no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through a formal written dispute rather than accepting a summary invoice.