CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Titus Regional Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $77
Cash Discount Price: $233
vs. Medicare Baseline: 0.72x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Titus Regional Medical Center is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $233. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.72x the Medicare baseline. Located in 2001 N Jefferson, Mount Pleasant, TX.

Cash / Self-Pay

$233

Average discount available for prompt cash payment at this facility.

Insurance Median

$77

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%)

Cash / Self-Pay: $233 (218%)

Insurance Median: $77 (72%)

Cash: $233 (218% of Medicare)

Ins. Median: $77 (72% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Christus Health Plan	$20 - $106	19%
Humana	$20 - $272	19%
Tricare	$20 - $106	19%
Triwest	$20 - $107	19%
UnitedHealthcare	$20 - $389	19%
Texas Mutual	$21 - $110	20%
Curative	$22 - $186	21%
Blue Cross Blue Shield	$23 - $389	22%
Superior	$24 - $132	22%
Healthcare Highways	$25 - $156	23%
Claritev	$29 - $311	27%
Aetna	$42 - $130	39%
Healthsmart	$69 - $272	65%
Cigna	$79 - $311	74%
Galaxy Health	$94 - $370	88%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $233.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Titus Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.