CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Matagorda Regional Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $573
  • Cash Discount Price: $512
  • vs. Medicare Baseline: 5.36x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Matagorda Regional Medical Center is $573. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $512. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.36x the Medicare baseline. Located in 104 7Th Street, Bay City, TX.
Cash / Self-Pay
$512

Average discount available for prompt cash payment at this facility.

Insurance Median
$573

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: $512 (479%)
Insurance Median: $573 (536%)
Cash: $512 (479% of Medicare)
Ins. Median: $573 (536% 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 536% of the Medicare baseline (a markup of 436%). 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
Aetna $105 - $641 98%
Humana $105 - $665 98%
Medicare (plans) $105 98%
Triwest $105 98%
United $105 98%
Wellcare $105 98%
UnitedHealthcare $116 - $708 109%
Am Better $127 119%
Alliance $148 139%
Corvel $211 198%
Blue Cross Blue Shield $245 - $490 229%
Comm Care $573 536%
Medicaid / KanCare $573 536%
Molina $573 536%
Scott & White $573 536%
Superior $573 536%
Tcstar $573 536%
Wellpoint $573 536%
Coventry First Health $716 670%
Galaxy Health $716 670%
Cigna $767 718%
Independent Medical System $870 815%
Multiplan Phcs $870 815%
Three Rivers $870 815%
Health Smart $921 862%
Usa Managed $921 862%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 104 7Th Street, Bay City, TX 77414
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals