Ultrasound, abdomen (limited)
Facility: Fredonia Regional Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $180
- Cash Discount Price: $200
- vs. Medicare Baseline: 1.69x 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 | $99 - $131 | 93% |
| Aetna | $102 - $180 | 95% |
| UnitedHealthcare | $102 - $180 | 95% |
| Veterans Programs - All Plans | $102 | 95% |
| Reserve National-All Plans | $180 | 169% |
| Cigna | $180 | 169% |
| Meritain-All Plans | $180 | 169% |
Consumer Guidance & Cost Commentary
For this ultrasound procedure at Fredonia Regional Hospital, the cash price is $200, which matches the facility's median negotiated rate of $180 and the cash median. While the facility is a Critical Access Hospital in Kansas, the data does not provide specific county or state average figures for comparison. It is important to note that while commercial insurance plans like Blue Cross Blue Shield, Aetna, and UnitedHealthcare have negotiated rates ranging from $99 to $180, these amounts often exceed the cash price. Patients with high-deductible plans may find it financially advantageous to pay the $200 cash price directly, as this avoids the administrative overhead and potential higher negotiated rates that insurers charge.
Before scheduling, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the final bill by 20% to 50% if paid upfront. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is still wise to request an itemized bill to ensure no unbundled codes or services not rendered are included. Since the facility is government-owned, patients should verify their specific plan details to confirm whether the negotiated rate applies or if they qualify for the lower cash price, ensuring they are not overcharged for a service that is already covered at a reduced rate.