CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Houston Healthcare West

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $507
  • Cash Discount Price: $3,822
  • vs. Medicare Baseline: 4.75x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Houston Healthcare West is $507. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,822. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.75x the Medicare baseline. Located in 12141 Richmond Ave, Houston, TX.
Cash / Self-Pay
$3,822

Average discount available for prompt cash payment at this facility.

Insurance Median
$507

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: $3,822 (3578%)
Insurance Median: $507 (475%)
Cash: $3,822 (3578% of Medicare)
Ins. Median: $507 (475% 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 475% of the Medicare baseline (a markup of 375%). 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 $85 80%
Amerigroup $87 81%
Texas Childrens Health Plans $87 - $634 81%
Community Health Choice Mcd $89 83%
United $90 - $1,720 84%
Aetna $96 - $644 90%
Molina Healthcare $96 90%
Humana $109 - $1,220 102%
Blue Cross Blue Shield $197 - $1,338 184%
Healthcare Highways $213 199%
Superior Health Plan $229 214%
Texas Athletic Network $300 - $600 281%
Texas Workforce Commission $917 859%
Evry Health $1,043 977%
Imagine Health $1,338 1253%
Christus (Usfhp) $1,529 1432%
Curative Administrators $1,529 1432%
Healthsmart Preferred Care $1,643 - $3,249 1538%
Averde Health $1,720 1610%
Fidelis Securecare Of Tx $1,720 1610%
Coventry National First Health $2,037 1907%
Physicians Cooperative Of Texas $2,102 1968%
Rockport Workers Comp $2,102 1968%
Independent Medical System $2,293 2147%
National Healthcare Solutions $2,293 2147%
Southwest Medical $2,293 2147%
Triumph $2,293 2147%
Coastal Comp $2,484 2326%
Multiplan $2,866 - $3,249 2683%
Cigna $3,058 2863%
Physicians, Inc $3,249 3042%
Affiliated Ppo $3,440 3221%

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