Ultrasound, abdomen (limited)
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $705
- Cash Discount Price: $941
- vs. Medicare Baseline: 6.60x 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 660% of the Medicare baseline (a markup of 560%). 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 | $564 | 528% |
| Americas Choice Provider Network | $658 | 616% |
| Usa Managed Care Organization | $705 | 660% |
| Quiktrip Corporation | $705 | 660% |
| Provider Network Of America | $705 | 660% |
| Velocity | $705 | 660% |
| Multiplan-Phcs | $753 | 705% |
| Prime Health Services | $800 | 749% |
| Medincrease | $847 | 793% |
Consumer Guidance & Cost Commentary
For the CPT code 76705, "Ultrasound, abdomen (limited)," the Rehabilitation Hospital Of Overland Park lists a cash price of $941.00, which matches the facility's median paid amount. While this cash rate is significantly higher than the Medicare benchmark of $106.81, it is important to note that commercial insurance negotiated rates for this service range from $564 to $847 across nine different payers. In this specific case, the cash price is actually the highest amount a patient could pay, as all negotiated rates are lower than the cash charge. This highlights a common pricing dynamic where cash-pay may not be the most economical option if you have insurance, as the insurer's allowed amount often exceeds the cash price.
Patients should be aware that while the No Surprises Act protects against balance billing for out-of-network providers at in-network facilities, it does not guarantee that the cash price is the lowest possible cost. Since the facility's cash rate exceeds the negotiated rates for all listed payers, using insurance would likely result in a lower out-of-pocket cost for those covered. Additionally, patients should inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the $941.00 cash price by 20% to 50% if paid in full upfront. Always request an itemized bill before finalizing payment to ensure no unbundled codes or services not rendered are included, as over 80% of hospital bills contain errors that can be corrected through a formal audit dispute.