CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Methodist Hospital Atascosa

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $336
  • Cash Discount Price: $3,452
  • vs. Medicare Baseline: 3.15x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Methodist Hospital Atascosa is $336. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,452. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.15x the Medicare baseline. Located in 1905 Hwy 97 East, Jourdanton, TX.
Cash / Self-Pay
$3,452

Average discount available for prompt cash payment at this facility.

Insurance Median
$336

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: $3,452 (3232%)
Insurance Median: $336 (315%)
Cash: $3,452 (3232% of Medicare)
Ins. Median: $336 (315% 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 315% of the Medicare baseline (a markup of 215%). 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
Community First Health Plans $105 - $932 98%
Molina $105 98%
United $105 - $1,553 98%
Aetna $115 - $1,726 108%
Humana $131 123%
Superior Health $173 162%
Blue Cross Blue Shield $196 - $1,018 184%
Imperial Insurance $656 614%
Focus Health Solutions $1,036 970%
Healthcare Highways $1,063 995%
Valenz $1,208 1131%
Evry Health $1,270 1189%
Curative Administrators $1,381 1293%
Healthsmart Preferred Care $1,898 1777%
Multiplan $2,589 - $2,934 2424%
Triwest Health Alliance $2,589 2424%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1905 Hwy 97 East, Jourdanton, TX 78026
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals