CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Medical Center Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $312
Cash Discount Price: $218
vs. Medicare Baseline: 2.92x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Medical Center Hospital is $312. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $218. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.92x the Medicare baseline. Located in 500 W 4Th Street, Odessa, TX.

Cash / Self-Pay

$218

Average discount available for prompt cash payment at this facility.

Insurance Median

$312

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: $218 (204%)

Insurance Median: $312 (292%)

Cash: $218 (204% of Medicare)

Ins. Median: $312 (292% 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 292% of the Medicare baseline (a markup of 192%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Corvel Wc	$71 - $83	66%
Medicaid / KanCare	$87 - $92	81%
Superior Chips	$87	81%
UnitedHealthcare	$87 - $780	81%
Ambetter / Centene	$90 - $109	84%
Amerigroup	$90	84%
Blue Cross Blue Shield	$90 - $335	84%
Community Health Choice	$90	84%
First Care Health Plan	$90	84%
Superior Health Plan	$90	84%
Aetna	$100 - $515	94%
Humana	$100	94%
Novitas Solutions	$103	96%
Triwest Va Ccn	$103	96%
Care Improvement Plus	$105	98%
Wellcare By Allwell	$109	102%
Group Resources	$126	118%
Caprock	$184 - $374	172%
Healthsmart Preferred Care	$202 - $468	189%
Workers Comp	$210	197%
Health Select	$217 - $335	203%
90 Degree Benefits	$325 - $374	304%
Cigna	$338 - $395	316%
State Comptroller	$338 - $390	316%
Texas Mutual Wc	$447 - $515	419%
Geha	$461 - $531	432%
Firstcare	$474 - $546	444%

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 $218.
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 Medical Center Hospital 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.