CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Womans Hospital of Texas,The

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $600
  • Cash Discount Price: $2,782
  • vs. Medicare Baseline: 5.62x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Womans Hospital of Texas,The is $600. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,782. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.62x the Medicare baseline. Located in 7600 Fannin, Houston, TX.
Cash / Self-Pay
$2,782

Average discount available for prompt cash payment at this facility.

Insurance Median
$600

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: $2,782 (2605%)
Insurance Median: $600 (562%)
Cash: $2,782 (2605% of Medicare)
Ins. Median: $600 (562% 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 562% of the Medicare baseline (a markup of 462%). 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%
Texas Childrens Health Plans $105 - $726 98%
Community Health Choice Mcd $107 100%
United $109 - $1,252 102%
Aetna $115 - $877 108%
Molina Healthcare $115 108%
Humana $131 - $1,453 123%
Superior Health Plan $167 156%
Blue Cross Blue Shield $197 - $974 184%
Healthcare Highways $213 199%
Texas Athletic Network $300 - $600 281%
Evry Health $759 711%
Imagine Health $974 912%
Kelsey Care (Boon-Chapman) $974 912%
Christus (Usfhp) $1,113 1042%
Curative Administrators $1,113 1042%
Healthsmart Preferred Care $1,196 - $2,365 1120%
Averde Health $1,252 1172%
Fidelis Securecare Of Tx $1,252 1172%
Coventry National First Health $1,483 1388%
Physicians Cooperative Of Texas $1,530 1432%
Rockport Workers Comp $1,530 1432%
Independent Medical System $1,669 1563%
National Healthcare Solutions $1,669 1563%
Southwest Medical $1,669 1563%
Coastal Comp $1,808 1693%
Affiliated Ppo $2,086 1953%
Fiesta Mart, Inc $2,086 1953%
Multiplan $2,086 - $2,365 1953%
Physicians, Inc $2,365 2214%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7600 Fannin, Houston, TX 77054
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals