Ultrasound, abdomen (limited)
Facility: Mitchell County Hospital Health Systems
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $510
- Cash Discount Price: $483
- vs. Medicare Baseline: 4.77x 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 477% of the Medicare baseline (a markup of 377%). 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 | $107 - $537 | 100% |
| Blue Cross Blue Shield | $117 | 110% |
| Triwest Well Mark All Plans | $456 | 427% |
| Pref Hlth Care Sytms Comm - All Plans | $483 | 452% |
| First Health-All Plans | $483 | 452% |
| Aetna | $483 | 452% |
| Multiplan Ppo - All Plans | $510 | 477% |
| Auxiant-All Plans | $510 | 477% |
| Phc Leased Ntwrk Access - All Plans | $510 | 477% |
| Cigna | $532 | 498% |
| Health Partners Ks-All Plans | $532 | 498% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), Mitchell County Hospital Health Systems in Beloit, KS, has a cash median price of $483.00, which is lower than the facility's negotiated rates of $510.00 and the gross charge of $537.00. While the facility's cash price is close to the state average of $483.00, patients with high-deductible plans may find paying the cash median of $483.00 more cost-effective than relying on insurance, as the negotiated rates for in-network payers like UnitedHealthcare and Blue Cross Blue Shield can exceed this amount. It is important to note that while the facility is a Critical Access Hospital with government-local ownership, patients should verify their specific plan details, as some commercial payers may negotiate higher rates than the cash price, making upfront payment a potentially smarter financial choice.
Regarding billing transparency, patients should be aware that commercial insurance rates often include administrative overhead and contract markups that can inflate the final cost compared to direct cash payment. Although the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, it is crucial to request a full itemized bill before paying to ensure no unbundled codes or services not rendered are included. Additionally, patients should proactively ask the billing department about "prompt-pay" discounts, which can reduce the total amount owed by 20% to 50% if paid in full upfront, bypassing the standard insurance claims cycle and avoiding potential administrative fees or unexpected secondary charges.