CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Medical City Lewisville

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $249
  • Cash Discount Price: $3,190
  • vs. Medicare Baseline: 2.33x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Medical City Lewisville is $249. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,190. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.33x the Medicare baseline. Located in 500 West Main Street, Lewisville, TX.
Cash / Self-Pay
$3,190

Average discount available for prompt cash payment at this facility.

Insurance Median
$249

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: $3,190 (2987%)
Insurance Median: $249 (233%)
Cash: $3,190 (2987% of Medicare)
Ins. Median: $249 (233% 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 233% of the Medicare baseline (a markup of 133%). 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 $86 81%
Amerigroup $87 81%
Cook Childrens Health Plan $87 81%
Parkland Community Health Plan $87 81%
United $87 - $635 81%
Cigna $92 - $447 86%
Aetna $94 - $2,319 88%
Molina $96 - $98 90%
Humana $109 - $989 102%
Blue Cross Blue Shield $147 - $1,417 138%
Superior Health Plan $223 209%
Unicare $766 - $3,190 717%
Healthcare Highways $782 - $1,078 732%
Evry Health $823 771%
Curative Administrators $1,276 1195%
City Of Mckinney $1,436 1344%
Fidelis Securecare $1,436 1344%
National Choicecare $1,595 1493%
Pc Texas Partners $1,755 1643%
Physicians Coop Of Tx $1,755 1643%
Rockport Health Group $1,755 1643%
Averde Health, Inc $1,850 1732%
Usc Health Services $1,914 1792%
Coastal Comp Health Networks $2,233 2091%
Jostens $2,233 2091%
Mega Life $2,233 2091%
Multiplan Phcs $2,233 2091%
Healthsmart Preferred Care $2,393 2240%
Lewisville Isd/Dls Consulting $2,393 2240%
Usa Managed Care $2,552 2389%
Galaxy Health Network $2,712 2539%
Independent Medical Systems $3,190 2987%
National Healthcare Solutions $3,190 2987%

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