CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Methodist Hospital Atascosa

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $451
Cash Discount Price: $2,752
vs. Medicare Baseline: 4.22x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Methodist Hospital Atascosa is $451. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,752. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.22x the Medicare baseline. Located in 1905 Hwy 97 East, Jourdanton, TX.

Cash / Self-Pay

$2,752

Average discount available for prompt cash payment at this facility.

Insurance Median

$451

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: $2,752 (2577%)

Insurance Median: $451 (422%)

Cash: $2,752 (2577% of Medicare)

Ins. Median: $451 (422% 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 422% of the Medicare baseline (a markup of 322%). 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
Community First Health Plans	$87 - $808	81%
Molina	$87	81%
United	$87 - $1,347	81%
Aetna	$96 - $1,497	90%
Humana	$109	102%
Superior Health	$125 - $150	117%
Blue Cross Blue Shield	$196 - $883	184%
Imperial Insurance	$477 - $569	447%
Focus Health Solutions	$753 - $898	705%
Healthcare Highways	$773 - $922	724%
Valenz	$878 - $1,048	822%
Evry Health	$923 - $1,102	864%
Curative Administrators	$1,004 - $1,198	940%
Healthsmart Preferred Care	$1,380 - $1,647	1292%
Multiplan	$1,882 - $2,545	1762%
Triwest Health Alliance	$1,882 - $2,246	1762%

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 $2,752.
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 Methodist Hospital Atascosa 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.