CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Lee's Summit Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $1,196
Cash Discount Price: $5,590
vs. Medicare Baseline: 11.20x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Lee's Summit Medical Center is $1,196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,590. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.20x the Medicare baseline. Located in 2100 Se Blue Parkway, Lees Summit, MO.

Cash / Self-Pay

$5,590

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,196

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $5,590 (5234%)

Insurance Median: $1,196 (1120%)

Cash: $5,590 (5234% of Medicare)

Ins. Median: $1,196 (1120% of 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 1120% of the Medicare baseline (a markup of 1020%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
United	$60 - $2,691	56%
Healthyblue	$61	57%
Aetna	$62 - $3,050	58%
Amerigroup	$62	58%
Medicaid / KanCare	$62	58%
Unicare	$62	58%
Home State Health Plan	$63	59%
Multiplan	$82 - $4,425	77%
Corvel Corporation	$97 - $3,887	91%
Oha Network	$101 - $2,990	95%
Cigna	$122 - $4,784	114%
Blue Cross Blue Shield	$141 - $2,572	132%
Humana	$141 - $182	132%
Ambetter / Centene	$967 - $1,112	905%
Nhc Advantage	$988 - $1,136	925%
Wppa Providrs Care Network	$1,040 - $1,196	974%
Universal Healthcare	$1,820 - $2,093	1704%
Coventry	$2,090 - $2,404	1957%
Coventry Kc Mo	$2,132 - $2,452	1996%
College Park Family Care Center	$2,236 - $2,572	2093%
Focus Healthcare Mgmt, Inc	$3,900 - $4,485	3651%
Cco, Inc.	$4,420 - $5,083	4138%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $5,590.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lee's Summit Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.