CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Medical City Lewisville

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $320
  • Cash Discount Price: $3,511
  • vs. Medicare Baseline: 3.00x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Medical City Lewisville is $320. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,511. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.00x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$3,511

Average discount available for prompt cash payment at this facility.

Insurance Median
$320

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: $3,511 (3287%)
Insurance Median: $320 (300%)
Cash: $3,511 (3287% of Medicare)
Ins. Median: $320 (300% 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 300% of the Medicare baseline (a markup of 200%). 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%
Cook Childrens Health Plan $105 98%
Parkland Community Health Plan $105 98%
United $105 - $699 98%
Cigna $110 - $492 103%
Aetna $113 - $2,552 106%
Molina $115 - $117 108%
Humana $131 - $1,088 123%
Blue Cross Blue Shield $147 - $1,559 138%
Superior Health Plan $246 230%
Unicare $843 - $3,511 789%
Healthcare Highways $860 - $1,187 805%
Evry Health $906 848%
Curative Administrators $1,404 1314%
City Of Mckinney $1,580 1479%
Fidelis Securecare $1,580 1479%
National Choicecare $1,755 1643%
Pc Texas Partners $1,931 1808%
Physicians Coop Of Tx $1,931 1808%
Rockport Health Group $1,931 1808%
Averde Health, Inc $2,036 1906%
Usc Health Services $2,106 1972%
Coastal Comp Health Networks $2,458 2301%
Jostens $2,458 2301%
Mega Life $2,458 2301%
Multiplan Phcs $2,458 2301%
Healthsmart Preferred Care $2,633 2465%
Lewisville Isd/Dls Consulting $2,633 2465%
Usa Managed Care $2,809 2630%
Galaxy Health Network $2,984 2794%
Independent Medical Systems $3,511 3287%
National Healthcare Solutions $3,511 3287%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 West Main Street, Lewisville, TX 75057
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals