CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Houston Healthcare Conroe

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $781
  • Cash Discount Price: $3,861
  • vs. Medicare Baseline: 7.31x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Houston Healthcare Conroe is $781. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,861. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.31x the Medicare baseline. Located in 504 Medical Center Blvd, Conroe, TX.
Cash / Self-Pay
$3,861

Average discount available for prompt cash payment at this facility.

Insurance Median
$781

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: $3,861 (3615%)
Insurance Median: $781 (731%)
Cash: $3,861 (3615% of Medicare)
Ins. Median: $781 (731% 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 731% of the Medicare baseline (a markup of 631%). 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
Texas Health Network $103 96%
Amerigroup $105 98%
Liberty County Indigent $105 98%
Texas Childrens Health Plans $105 - $1,126 98%
Community Health Choice Mcd $107 100%
United $109 - $2,484 102%
Aetna $115 - $855 108%
Molina Healthcare $115 108%
Humana $131 - $1,761 123%
Superior Health Plan $132 - $331 124%
Blue Cross Blue Shield $197 - $1,932 184%
Healthcare Highways $213 199%
Texas Athletic Network $300 - $600 281%
Tx Workforce Commission $529 - $1,325 495%
Evry Health $601 - $1,507 563%
Imagine Health $771 - $1,932 722%
Christus (Usfhp) $881 - $2,208 825%
Curative Administrators $881 - $2,208 825%
Healthsmart Preferred Care $947 - $4,691 887%
Averde Health $991 - $2,484 928%
Fidelis Securecare Of Tx $991 - $2,484 928%
Coventry National First Health $1,174 - $2,942 1099%
Physicians Cooperative Of Texas $1,211 - $3,035 1134%
Rockport Workers Comp $1,211 - $3,035 1134%
Independent Medical System $1,321 - $3,311 1237%
National Healthcare Solutions $1,321 - $3,311 1237%
Southwest Medical $1,321 - $3,311 1237%
Coastal Comp $1,431 - $3,587 1340%
Multiplan $1,652 - $4,691 1547%
Physicians, Inc $1,872 - $4,691 1753%
Affiliated Ppo $1,982 - $4,967 1856%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 504 Medical Center Blvd, Conroe, TX 77304
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals