Ultrasound, abdomen (limited)
Facility: William Newton Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $145
- Cash Discount Price: $404
- vs. Medicare Baseline: 1.36x 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 |
|---|---|---|
| Blue Cross Blue Shield | $126 - $145 | 118% |
| Triwest- All Plans | $141 | 132% |
| UnitedHealthcare | $145 - $363 | 136% |
| Ambetter / Centene | $145 - $404 | 136% |
| Providrs Care Nexus | $247 | 231% |
| Providrs Care - All Other Plans | $282 | 264% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, Ultrasound, abdomen (limited), at William Newton Hospital in Winfield, KS, the cash price is $404.00, which matches the facility's gross charge and the median cash rate. This cash price is significantly higher than the state average for this service, as indicated by a ratio of 1.4 times the Medicare benchmark of $106.81. While commercial insurance plans like UnitedHealthcare and Ambetter / Centene have negotiated rates ranging from $145 to $404, these amounts often exceed the cash price for patients with high-deductible plans. In such cases, paying the full cash price of $404.00 upfront may result in lower out-of-pocket costs compared to the insurance negotiated rates, provided the patient's deductible has not been met.
Patients should verify their specific plan details before scheduling, as some in-network carriers may charge up to the full gross amount depending on the number of plans within their network. To potentially reduce costs, individuals should contact the hospital directly to inquire about self-pay or prompt-pay discounts, which can offer immediate fee reductions for upfront payment. If a patient receives a bill that includes charges for services not rendered or unbundled components, they should request a formal itemized audit to identify errors before making any payments. Additionally, under the No Surprises Act, patients are protected from balance billing for out-of-network services at in-network facilities, so any unexpected high bills should be disputed with the insurer rather than paid immediately.