Ultrasound, abdomen (limited)
Facility: Memorial Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $278
- Cash Discount Price: $375
- vs. Medicare Baseline: 2.60x 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 260% of the Medicare baseline (a markup of 160%). 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 |
|---|---|---|
| Tricare | $26 - $278 | 24% |
| Ambetter / Centene | $29 - $306 | 27% |
| Humana | $83 - $278 | 78% |
| Medicare (plans) | $84 - $281 | 79% |
| Blue Cross Blue Shield | $124 | 116% |
| Coventry - All Other Plans | $149 - $500 | 140% |
| Preferred Healthcare-All Plans | $158 - $528 | 148% |
| Wppa/Providers Care-All Plans | $233 - $778 | 218% |
| Health Partners Of Kansas - All Plans | $528 | 494% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), Memorial Hospital in Abilene, KS, lists a cash price of $375.00, which matches the facility's median negotiated rate of $278.00 and the state average. While the facility's gross charge is $375.00, the Medicare benchmark rate for this service is $106.81, indicating that the cash price is significantly higher than the federal baseline. Patients with high-deductible plans may find paying the cash price of $375.00 more cost-effective than using insurance, as the negotiated rates for in-network payers like Tricare and Ambetter / Centene range from $26 to $306, often exceeding the cash amount. It is advisable to contact the hospital directly to confirm if self-pay or prompt-pay discounts are available, as these upfront payments can sometimes reduce the final bill by 20% to 50%.
When using insurance, patients should be aware that the No Surprises Act protects against balance billing for emergency care and non-emergency services at in-network facilities, preventing providers from charging the difference between the chargemaster and the allowed amount. However, if a patient receives care from an out-of-network provider or encounters unexpected ancillary services, they may face surprise bills that require a formal itemized billing audit to identify errors such as unbundled codes or services not rendered. To ensure transparency, consumers should request a detailed CPT-coded statement before settling any debt, as summary bills often obscure individual line items. Given that over 80% of hospital bills contain errors, disputing charges in writing with