CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Medical City North Hills

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $245
  • Cash Discount Price: $1,562
  • vs. Medicare Baseline: 2.29x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Medical City North Hills is $245. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,562. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.29x the Medicare baseline. Located in 4401 Booth Calloway Road, North Richland Hills, TX.
Cash / Self-Pay
$1,562

Average discount available for prompt cash payment at this facility.

Insurance Median
$245

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: $1,562 (1462%)
Insurance Median: $245 (229%)
Cash: $1,562 (1462% of Medicare)
Ins. Median: $245 (229% 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 229% of the Medicare baseline (a markup of 129%). 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
Amerigroup $87 81%
Cook Childrens Health Plan $87 81%
Parkland Community Health Plan $87 81%
United $87 - $336 81%
Cigna $92 - $1,249 86%
Aetna $94 - $1,135 88%
Molina $96 - $98 90%
Humana $109 - $484 102%
Superior Health Plan $109 102%
Blue Cross Blue Shield $133 - $693 125%
Unicare $328 - $1,562 307%
Healthcare Highways $383 - $528 359%
Evry Health $403 377%
Curative Administrators $625 585%
City Of Mckinney $703 658%
Fidelis Securecare $703 658%
National Choicecare $781 731%
Pc Texas Partners $859 804%
Physicians Coop Of Tx $859 804%
Rockport Health Group $859 804%
Averde Health, Inc $906 848%
Magellan Behavior Health $937 877%
Coastal Comp Health Networks $1,093 1023%
Mega Life $1,093 1023%
Multiplan Phcs $1,093 1023%
Healthsmart Preferred Care $1,171 1096%
Lewisville Isd/Dls Consulting $1,171 1096%
Usa Managed Care $1,249 1169%
Usc Health Services $1,249 1169%
Galaxy Health Network $1,327 1242%
Independent Medical Systems $1,562 1462%
National Healthcare Solutions $1,562 1462%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4401 Booth Calloway Road, North Richland Hills, TX 76180
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals