Ultrasound, abdomen (limited)
Facility: Kingman Healthcare Center
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $70
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.66x 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 |
|---|---|---|
| Healthy Blue | $70 | 66% |
| Medicaid / KanCare | $70 | 66% |
| Aetna | $149 | 140% |
Consumer Guidance & Cost Commentary
For the ultrasound procedure "Ultrasound, abdomen (limited)" at Kingman Healthcare Center in Kansas, the median negotiated rate paid by insurers is $70.00, while the median amount paid by patients directly is $318.00. This significant difference highlights how insurance contracts can sometimes result in higher out-of-pocket costs for patients who do not meet their deductibles, whereas paying cash upfront may offer a lower total price. The facility, a critical access hospital in Kingman (ZIP 67068), has specific negotiated rates for three payers, including Healthy Blue and Medicaid/KanCare at $70.00 and Aetna at $149.00. Because commercial negotiated rates often include administrative overhead and do not reflect the true cost of care, it is advisable to compare these figures against the Medicare benchmark of $106.81 to understand the baseline value of the service.
Patients should be aware that balance billing can occur if a provider bills the difference between their full chargemaster rate and the insurance allowed amount, though the No Surprises Act protects against this for emergency and non-emergency services at in-network facilities. To avoid unexpected costs, consumers should request an itemized billing audit before paying, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. Additionally, asking the hospital about "self-pay" or "prompt-pay" discounts before scheduling can significantly reduce the final bill, as paying in full upfront often bypasses the costly insurance claims cycle and administrative fees. Always verify your deductible status and request a waiver of insurance submission if you intend to pay cash directly to ensure you receive the most favorable rate available.