Ultrasound, abdomen (limited)
Facility: Bob Wilson Memorial Hospital
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $750
- Cash Discount Price: $367
- vs. Medicare Baseline: 7.02x 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 702% of the Medicare baseline (a markup of 602%). 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 | $175 | 164% |
| Centura Employee Plan | $205 | 192% |
| Aetna | $294 - $734 | 275% |
| Kansas Health | $294 | 275% |
| UnitedHealthcare | $294 - $765 | 275% |
| Medicare (plans) | $294 | 275% |
| Humana | $294 | 275% |
| Multiplan | $826 - $853 | 773% |
| Health Partners Of Kansas | $863 | 808% |
| Wppa | $872 | 816% |
Consumer Guidance & Cost Commentary
For the "Ultrasound, abdomen (limited)" procedure at Bob Wilson Memorial Hospital in Ulysses, KS, the facility's cash price of $367.00 is significantly lower than the negotiated rates paid by most major insurers, which range from $294 to $872 depending on the plan. While the facility is a Critical Access Hospital owned by a voluntary non-profit church, patients with high-deductible plans may find the cash price more affordable if their insurance negotiated rate exceeds this amount. It is important to note that commercial rates often include administrative overhead and contract markups that can inflate the baseline price by 20% to 40%, meaning the cash price represents a direct cost without these layers.
To ensure you are not overcharged, always request a full itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered. If you receive a surprise bill for out-of-network ancillary services, you may be protected under the No Surprises Act, which bans balance billing for emergency and non-emergency care at in-network facilities. Additionally, since the facility offers a cash price of $367.00, you should explicitly ask about "self-pay" or "prompt-pay" discounts at registration to potentially reduce the final amount, as hospitals often provide fee reductions for upfront payments that bypass costly insurance billing cycles.