CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Medical City Plano

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $603
  • Cash Discount Price: $2,337
  • vs. Medicare Baseline: 5.65x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Medical City Plano is $603. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,337. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.65x the Medicare baseline. Located in 3901 W 15Th St, Plano, TX.
Cash / Self-Pay
$2,337

Average discount available for prompt cash payment at this facility.

Insurance Median
$603

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: $2,337 (2188%)
Insurance Median: $603 (565%)
Cash: $2,337 (2188% of Medicare)
Ins. Median: $603 (565% 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 565% of the Medicare baseline (a markup of 465%). 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
Amerigroup $105 98%
United $105 - $411 98%
Cigna $110 - $449 103%
Aetna $113 - $1,428 106%
Molina $115 - $117 108%
Parkland Community Health Plan $115 108%
Humana $131 - $731 123%
Blue Cross Blue Shield $133 - $1,048 125%
Superior Health Plan $162 - $165 152%
Healthcare Highways $567 - $798 531%
Evry Health $597 - $609 559%
Lifecare Hospitals $694 - $708 650%
Curative Administrators $925 - $944 866%
Prominence Health Plan $925 - $944 866%
City Of Mckinney $1,041 - $1,062 975%
Fidelis Securecare $1,041 - $1,062 975%
National Choicecare $1,157 - $1,180 1083%
Pc Texas Partners $1,272 - $1,298 1191%
Physicians Coop Of Tx $1,272 - $1,298 1191%
Rockport Health Group $1,272 - $1,298 1191%
Averde Health, Inc $1,342 - $1,369 1256%
Texas Healthcare Foundation Wc $1,504 - $1,534 1408%
Coastal Comp Health Networks $1,619 - $1,652 1516%
Mega Life $1,619 - $1,652 1516%
Multiplan Phcs $1,619 - $1,652 1516%
Healthsmart Preferred Care $1,735 - $1,770 1624%
Lewisville Isd/Dls Consulting $1,735 - $1,770 1624%
Usa Managed Care $1,851 - $1,888 1733%
Usc Health Services $1,851 - $1,888 1733%
Galaxy Health Network $1,966 - $2,006 1841%
Independent Medical Systems $2,313 - $2,360 2166%
National Healthcare Solutions $2,313 - $2,360 2166%
Unicare $2,313 - $2,360 2166%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3901 W 15Th St, Plano, TX 75075
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals