CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $513
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 4.80x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at University of Texas M. D. Anderson Cancer Center is $513. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.80x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$513

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%)
Insurance Median: $513 (480%)
Ins. Median: $513 (480% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 480% of the Medicare baseline (a markup of 380%). 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.

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
Texaschildrens $20 - $323 19%
UnitedHealthcare $22 - $550 21%
Tricare $23 - $550 22%
Vacare $23 - $323 22%
Medicare (plans) $33 - $323 31%
Blue Cross Blue Shield $43 - $528 40%
Aetna $51 - $550 48%
Cigna $60 - $550 56%
Humana $158 - $564 148%
Ontarioministriesofhealth $195 - $542 183%
Beijingst.Lucia $197 - $550 184%
Embassyofqatar $197 - $550 184%
Memorialhermannhealth $197 - $550 184%
Emergingtherapysolutions_Cancercare $210 - $586 197%
Interlink_Cancercare $210 - $586 197%
Saudiarmedforces $210 - $586 197%
Uae_Medical $210 - $586 197%
Uaepoliceattache $210 - $586 197%
Healthsmart $224 - $623 210%
Vantage $224 - $623 210%
Multiplan $228 - $630 213%
Phcs $228 - $630 213%
Emergingtherapysolutions $550 - $586 515%
Interlink $550 - $623 515%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL