Ultrasound, abdomen (limited)
Facility: Neosho Memorial Regional Medical Center
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $166
- Cash Discount Price: $390
- vs. Medicare Baseline: 1.55x 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 |
|---|---|---|
| Medicaid / KanCare | $60 | 56% |
| Blue Cross Blue Shield | $147 - $166 | 138% |
| Tricare | $160 | 150% |
| Medadv_Uhc | $166 | 155% |
| Va_Ccn | $166 | 155% |
| Humana | $166 | 155% |
| Medicare (plans) | $166 | 155% |
| Medadv_Allwell | $166 | 155% |
| Aetna | $166 | 155% |
| Ambetter / Centene | $262 | 245% |
| Wppa_Providrscare | $432 | 404% |
| United | $433 | 405% |
| Cigna | $494 | 463% |
| Coventry | $494 | 463% |
| Hpk | $494 | 463% |
Consumer Guidance & Cost Commentary
For this ultrasound service at Neosho Memorial Regional Medical Center in Chanute, KS, the negotiated rates across 15 insurance plans range from $60 to $494, with a median negotiated amount of $166. This commercial rate is significantly higher than the facility's cash price of $390, which is notably lower than the state average for this procedure. While many commercial payers have negotiated rates exceeding the cash price, patients with high-deductible plans may find it financially advantageous to pay the cash rate directly, provided they have the funds available. It is important to note that the facility is a Critical Access Hospital with government-local ownership, which often influences its pricing structure compared to larger urban centers.
The Medicare benchmark for this procedure is $106.81, serving as a baseline to evaluate the markup on commercial rates. The facility's cash rate of $390 represents a substantial increase over the Medicare amount, reflecting the specific administrative costs and service tiers associated with this location. Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, it does not apply to self-pay scenarios. To minimize costs, patients are encouraged to explicitly request "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can bypass the higher administrative fees embedded in insurance negotiated rates. Always verify your specific plan's deductible status and allowed amounts with the hospital prior to receiving care to ensure you are aware of your out-of-pocket obligations.