Ultrasound, abdomen (limited)
Facility: Greeley County Health Services
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $152
- Cash Discount Price: $56
- vs. Medicare Baseline: 1.42x 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 |
|---|---|---|
| Aetna | $91 - $245 | 85% |
| Medicaid / KanCare | $91 - $245 | 85% |
| Blue Cross Blue Shield | $152 | 142% |
Consumer Guidance & Cost Commentary
For this ultrasound procedure, Greeley County Health Services in Tribune, Kansas, lists a cash price of $56.00, which is significantly lower than the facility's negotiated rates of $152.00 and the highest commercial payment of $245.00. While the facility is a Critical Access Hospital with government ownership, patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rate exceeds this amount. It is important to note that commercial payers like Aetna and Medicaid/KanCare have negotiated rates ranging from $91 to $245, which are higher than the cash option. To minimize costs, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can further reduce the final bill.
When comparing this service to broader benchmarks, the cash price of $56.00 is notably lower than the Medicare allowed amount of $106.81, which serves as a reliable baseline for fair pricing. Although the data does not provide specific state or county average figures for comparison, the facility's cash rate remains well below the Medicare benchmark, suggesting a competitive price point for self-pay patients. If you are using insurance, be aware that the facility may bill the difference between the negotiated rate and what your plan pays, a practice known as balance billing, though the No Surprises Act protects you from such unexpected charges for emergency care and non-emergency services at in-network facilities. Always request a full itemized bill to verify that all charges are accurate and that no services were unbundled or duplicated.