CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: South Sunflower County Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $94
Cash Discount Price: $61
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at South Sunflower County Hospital is $94. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $61. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.88x the Medicare baseline. Located in 121 East Baker Street, Indianola, MS.

Cash / Self-Pay

$61

Average discount available for prompt cash payment at this facility.

Insurance Median

$94

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: $61 (57%)

Insurance Median: $94 (88%)

Cash: $61 (57% of Medicare)

Ins. Median: $94 (88% 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.

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
Primewell Mcr Adv	$26 - $97	24%
UnitedHealthcare	$28	26%
Primewell Comm - All Other Plans	$42 - $241	39%
Advanced Health Systems - All Plans	$50 - $490	47%
Medicaid / KanCare	$67 - $90	63%
Trucare - All Plans	$68 - $91	64%
Multiplan - All Plans	$116 - $261	109%
Aetna	$169	158%
Blue Cross Blue Shield	$191	179%
Physician Care Network - All Plans	$394	369%

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 $61.
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 South Sunflower County Hospital 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.