Kentucky · 76770

Complete Ultrasound Scan Behind Abdominal Cavity in Kentucky

Kentucky Medicare Avg
$33.56
25% below national avg
National Medicare Avg
$44.67
All states combined
Billed Charge (KY)
$157.78
What providers submit
Est. Commercial (KY)
$96.37
National avg: $134.85
Est. Cash / Self-Pay (KY)
$77.81
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

13.3K
Services in KY
479
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Kentucky

Provider Medicare Services
Yalkut, Denis MD $76.49 520
Jones, Brian M.D. $23.83 429
Kalakish, Samer M.D. $68.09 410
Hiken, James MD $23.72 410
Thomson, Nathaniel DO $22.55 409
Feller, Rebecca M.D. $24.06 388

Kentucky Pricing in Context

In Kentucky, CPT code 76770 (Complete Ultrasound Scan Behind Abdominal Cavity) carries an average Medicare payment of $33.56 — 25% below the national benchmark of $44.67. 479 providers across the state submitted claims for this procedure in 2023, performing 13.3K total services. Individual payments in KY ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Kentucky is $157.78, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Kentucky sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Ultrasound procedures, the estimated commercial insurance price in Kentucky lands near $96.37, with self-pay cash prices typically around $77.81. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Complete Ultrasound Scan Behind Abdominal Cavity cost in Kentucky?

The average Medicare payment for Complete Ultrasound Scan Behind Abdominal Cavity in Kentucky is $33.56, which is 25% below the national average of $44.67. Providers in KY typically bill $157.78 for this procedure.

What does Complete Ultrasound Scan Behind Abdominal Cavity cost with insurance in Kentucky?

With commercial insurance in Kentucky, Complete Ultrasound Scan Behind Abdominal Cavity costs an estimated $96.37. Without insurance, the estimated cash price is $77.81. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Complete Ultrasound Scan Behind Abdominal Cavity in Kentucky?

479 providers in Kentucky billed Medicare for Complete Ultrasound Scan Behind Abdominal Cavity in 2023, performing 13.3K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Complete Ultrasound Scan Behind Abdominal Cavity cheaper in Kentucky than the national average?

Yes — Complete Ultrasound Scan Behind Abdominal Cavity costs 25% below the national average in Kentucky. The state average Medicare payment is $33.56 compared to $44.67 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial