Ultrasound, abdomen (limited)
Facility: Regional Medical Center
Billing Code: 76705 (CPT)
- CPT Billing Code: 76705
- Insurance Median: $870
- Cash Discount Price: $450
- vs. Medicare Baseline: 8.15x 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 815% of the Medicare baseline (a markup of 715%). 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 |
|---|---|---|
| Medical Associates Health Plan - Tri | $870 | 815% |
Consumer Guidance & Cost Commentary
Regional Medical Center, located in Manchester, Iowa, offers an Ultrasound, abdomen (limited) procedure with a cash median price of $450. This facility is a Critical Access Hospital owned by the local government and holds a rating of 4. While the cash rate is available, the median negotiated rate for Medical Associates Health Plan - Tri is $870. For patients with high-deductible plans, paying the lower cash price of $450 upfront can sometimes be more cost-effective than the insurance negotiated rate, provided the patient qualifies for the facility's prompt-pay discounts which may reduce the final amount further.
It is important to note that the Medicare amount for this service is $106.81, which serves as a benchmark for the true cost of care delivery. The gross charge listed for the procedure is $563. When comparing rates, the cash price of $450 is significantly lower than the negotiated rate of $870, and both are higher than the Medicare amount. Patients should verify their specific plan details and ask the hospital about self-pay or prompt-pay options before scheduling to ensure they are not subject to balance billing or unexpected charges. Always request an itemized bill to confirm all services rendered and avoid errors before finalizing payment.