Ultrasound, abdomen (limited)
Facility: Children'S Mercy South
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $67
- Cash Discount Price: $332
- vs. Medicare Baseline: 0.63x 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 |
|---|---|---|
| UnitedHealthcare | $24 - $872 | 22% |
| Medicaid / KanCare | $26 - $70 | 24% |
| Healthy Blue | $26 - $273 | 24% |
| Home State Health | $27 - $240 | 25% |
| Cigna | $27 - $902 | 25% |
| Wppa Providrs Care | $36 - $844 | 34% |
| Healthlink | $36 - $1,142 | 34% |
| Health Midwest Comprehensive Care | $38 - $845 | 36% |
| American Healthcare Alliance | $39 - $1,103 | 37% |
| Blue Cross Blue Shield | $42 - $961 | 39% |
| Quiktrip | $42 - $845 | 39% |
| Medica | $49 - $757 | 46% |
| Multiplan | $52 - $986 | 49% |
| Wellfit/Centrus | $53 - $844 | 50% |
| Centivo | $54 - $844 | 51% |
| Humana | $54 - $863 | 51% |
| Aetna | $54 - $883 | 51% |
| Nebraska Furniture Mart | $55 - $844 | 51% |
| Orscheln | $55 - $844 | 51% |
| Mercy Health | $61 - $974 | 57% |
| Coxhealth Network | $62 - $961 | 58% |
| Coventry Health Care Of Kansas | $68 - $961 | 64% |
| National Preferred Provider Network | $74 - $1,168 | 69% |
Consumer Guidance & Cost Commentary
For the ultrasound procedure "Ultrasound, abdomen (limited)," Children's Mercy South in Overland Park, KS, has a cash median price of $332.00, which is significantly lower than the facility's gross charge of $691.00. While commercial insurance negotiated rates vary widely among payers—ranging from a low of $24 with UnitedHealthcare to a high of $1,168 with the National Preferred Provider Network—these amounts often exceed the cash price. For patients with high-deductible plans who have not yet met their out-of-pocket maximum, paying the cash rate of $332.00 may be more cost-effective than relying on insurance, as the negotiated allowed amounts can sometimes be substantially higher than the cash-pay option.
The facility's cash rate of $332.00 is also notably lower than the Medicare benchmark of $106.81, which serves as the federal government's objective baseline for healthcare costs. Although commercial rates typically average 200% to 300% of Medicare, the cash price here represents a fairer value compared to the administrative overhead and contract dynamics that inflate commercial negotiated rates. To secure the best possible price, patients should explicitly ask the billing department about "self-pay" or "prompt-pay" discounts, which can further reduce the final amount owed by bypassing costly insurance claims processing and administrative fees.