CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Houston Healthcare Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $632
  • Cash Discount Price: $5,487
  • vs. Medicare Baseline: 5.92x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Houston Healthcare Medical Center is $632. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,487. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.92x the Medicare baseline. Located in 1313 Hermann Dr, Houston, TX.
Cash / Self-Pay
$5,487

Average discount available for prompt cash payment at this facility.

Insurance Median
$632

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: $5,487 (5137%)
Insurance Median: $632 (592%)
Cash: $5,487 (5137% of Medicare)
Ins. Median: $632 (592% 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 592% of the Medicare baseline (a markup of 492%). 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
Community Health Choice Mcd $107 100%
United $109 - $2,469 102%
Aetna $115 - $855 108%
Molina Healthcare $115 108%
Humana $131 - $1,751 123%
Blue Cross Blue Shield $197 - $1,921 184%
Healthcare Highways $213 199%
Superior Health Plan $329 308%
Evry Health $1,498 1402%
Christus (Usfhp) $2,195 2055%
Curative Administrators $2,195 2055%
Coventry National First Health $2,925 2739%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1313 Hermann Dr, Houston, TX 77004
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals