Ultrasound, abdomen (limited)
Facility: Morris County Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $304
- Cash Discount Price: $467
- vs. Medicare Baseline: 2.85x 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 285% of the Medicare baseline (a markup of 185%). 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 |
|---|---|---|
| Providrs Care (Wppa)(Nexus)-All Plans | $73 | 68% |
| Blue Cross Blue Shield | $126 - $304 | 118% |
| Coventry Mcr | $304 | 285% |
| Va Ccn-All Plans | $304 | 285% |
| Choice Care Mcr Adv-All Plans | $304 | 285% |
| UnitedHealthcare | $304 - $779 | 285% |
| Cigna | $564 | 528% |
| Aetna | $698 | 653% |
| Multiplan-All Plans | $701 | 656% |
| Coventry Comm-All Other Plans | $701 | 656% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), Morris County Hospital in Council Grove, KS, has a gross charge of $779.00. While the facility's cash median rate is $467.00 and the median negotiated rate across payers is $304.00, the Medicare benchmark amount is $106.81. This indicates that the cash price is significantly higher than the Medicare benchmark, which serves as the federal baseline for true cost. Patients with high-deductible plans may find the cash price of $467.00 more affordable than the negotiated rates, which range from $73 to $779 depending on the specific insurance carrier. It is important to note that while the facility is a Critical Access Hospital with government-local ownership, the negotiated rates vary widely, with UnitedHealthcare showing a range of $304 to $779 and Blue Cross Blue Shield ranging from $126 to $304.
To minimize out-of-pocket costs, patients should proactively request a "self-pay" or "prompt-pay" discount before scheduling the appointment, as billing systems often default to insurance processing once a card is on file. If a patient chooses to pay upfront, they may qualify for a fee reduction that bypasses the administrative overhead of claims processing. Conversely, if using insurance, patients must be aware of the risk of balance billing if services are rendered by out-of-network providers, though the No Surprises Act protects against surprise bills for emergency care and non-emergency services at in-network facilities. Before finalizing payment, consumers should demand a full itemized CPT-coded bill to verify