CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Houston Healthcare West

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $673
  • Cash Discount Price: $4,578
  • vs. Medicare Baseline: 6.30x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Houston Healthcare West is $673. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,578. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.30x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$4,578

Average discount available for prompt cash payment at this facility.

Insurance Median
$673

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: $4,578 (4286%)
Insurance Median: $673 (630%)
Cash: $4,578 (4286% of Medicare)
Ins. Median: $673 (630% 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 630% of the Medicare baseline (a markup of 530%). 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%
Texas Childrens Health Plans $105 - $760 98%
Community Health Choice Mcd $107 100%
United $109 - $2,060 102%
Aetna $115 - $855 108%
Molina Healthcare $115 108%
Humana $131 - $1,461 123%
Blue Cross Blue Shield $197 - $1,602 184%
Healthcare Highways $213 199%
Superior Health Plan $275 257%
Texas Athletic Network $300 - $600 281%
Texas Workforce Commission $1,099 1029%
Evry Health $1,250 1170%
Imagine Health $1,602 1500%
Christus (Usfhp) $1,831 1714%
Curative Administrators $1,831 1714%
Healthsmart Preferred Care $1,969 - $3,891 1843%
Averde Health $2,060 1929%
Fidelis Securecare Of Tx $2,060 1929%
Coventry National First Health $2,440 2284%
Physicians Cooperative Of Texas $2,518 2357%
Rockport Workers Comp $2,518 2357%
Independent Medical System $2,747 2572%
National Healthcare Solutions $2,747 2572%
Southwest Medical $2,747 2572%
Triumph $2,747 2572%
Coastal Comp $2,976 2786%
Multiplan $3,434 - $3,891 3215%
Cigna $3,662 3429%
Physicians, Inc $3,891 3643%
Affiliated Ppo $4,120 3857%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12141 Richmond Ave, Houston, TX 77082
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals