Ultrasound, abdomen (limited)
Facility: Amberwell Atchison Association
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $332
- Cash Discount Price: $737
- vs. Medicare Baseline: 3.11x 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 311% of the Medicare baseline (a markup of 211%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $124 - $131 | 116% |
| Superior Select Mcr Adv - All Plans | $243 | 228% |
| Va Ccn - All Plans | $243 | 228% |
| Humana | $243 - $332 | 228% |
| UnitedHealthcare | $243 - $1,322 | 228% |
| Triwest - All Plans | $243 | 228% |
| Ambetter / Centene | $377 | 353% |
| Cigna | $405 | 379% |
| Aetna | $405 | 379% |
| Centrus Health Direct - All Plans | $553 | 518% |
| Oscar - All Plans | $553 | 518% |
| Multiplan - All Plans | $575 | 538% |
| Wppa Providrs Care - All Plans | $663 | 621% |
Consumer Guidance & Cost Commentary
For the ultrasound procedure code 76705 at Amberwell Atchison Association in Atchison, KS, the cash price is $737.00, which matches the facility's median paid amount. This cash rate is significantly higher than the state average of $363.00, meaning patients paying out-of-pocket will pay nearly double the typical state rate for this service. While commercial insurance plans like UnitedHealthcare and Humana have negotiated rates ranging from $243 to $1,322, these amounts often exceed the cash price, making self-pay a potentially more affordable option for those with high-deductible plans. To secure the lowest possible rate, patients should explicitly request a self-pay or prompt-pay discount before scheduling, as hospitals frequently offer 20% to 50% reductions for upfront payments that bypass costly insurance claims processing.
It is important to note that the facility's negotiated rates vary widely among payers, with Blue Cross Blue Shield offering the lowest range at $124 to $131, while UnitedHealthcare's range extends up to $1,322. These commercial rates are generally higher than the Medicare benchmark of $106.81, reflecting the administrative costs and contract structures inherent in private insurance. Because over 80% of hospital bills contain errors, patients should always request a detailed, itemized bill rather than accepting a summary invoice, which can hide unbundled charges or services not rendered. If a patient receives a balance bill from an out-of-network provider at this in-network facility, they may be entitled to protections under the No Surprises Act, which bans balance billing for emergency and non-emergency services