CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Houston Healthcare Conroe

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $596
  • Cash Discount Price: $1,613
  • vs. Medicare Baseline: 5.58x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Houston Healthcare Conroe is $596. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,613. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.58x the Medicare baseline. Located in 504 Medical Center Blvd, Conroe, TX.
Cash / Self-Pay
$1,613

Average discount available for prompt cash payment at this facility.

Insurance Median
$596

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: $1,613 (1510%)
Insurance Median: $596 (558%)
Cash: $1,613 (1510% of Medicare)
Ins. Median: $596 (558% 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 558% of the Medicare baseline (a markup of 458%). 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
Superior Health Plan $81 - $339 76%
Texas Health Network $85 80%
Amerigroup $87 81%
Liberty County Indigent $87 81%
Texas Childrens Health Plans $87 - $1,154 81%
Community Health Choice Mcd $89 83%
United $90 - $2,546 84%
Aetna $96 - $644 90%
Molina Healthcare $96 90%
Humana $109 - $1,805 102%
Blue Cross Blue Shield $197 - $1,980 184%
Healthcare Highways $213 199%
Texas Athletic Network $300 - $600 281%
Tx Workforce Commission $324 - $1,358 303%
Evry Health $369 - $1,545 345%
Imagine Health $473 - $1,980 443%
Christus (Usfhp) $541 - $2,263 507%
Curative Administrators $541 - $2,263 507%
Healthsmart Preferred Care $581 - $4,809 544%
Averde Health $608 - $2,546 569%
Fidelis Securecare Of Tx $608 - $2,546 569%
Coventry National First Health $720 - $3,016 674%
Physicians Cooperative Of Texas $743 - $3,112 696%
Rockport Workers Comp $743 - $3,112 696%
Independent Medical System $811 - $3,395 759%
National Healthcare Solutions $811 - $3,395 759%
Southwest Medical $811 - $3,395 759%
Coastal Comp $879 - $3,678 823%
Multiplan $1,014 - $4,809 949%
Physicians, Inc $1,149 - $4,809 1076%
Affiliated Ppo $1,216 - $5,092 1138%

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