CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Womans Hospital of Texas,The

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $562
  • Cash Discount Price: $2,614
  • vs. Medicare Baseline: 5.26x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Womans Hospital of Texas,The is $562. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,614. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.26x the Medicare baseline. Located in 7600 Fannin, Houston, TX.
Cash / Self-Pay
$2,614

Average discount available for prompt cash payment at this facility.

Insurance Median
$562

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: $2,614 (2447%)
Insurance Median: $562 (526%)
Cash: $2,614 (2447% of Medicare)
Ins. Median: $562 (526% 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 526% of the Medicare baseline (a markup of 426%). 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 $85 80%
Amerigroup $87 81%
Texas Childrens Health Plans $87 - $682 81%
Community Health Choice Mcd $89 83%
United $90 - $1,176 84%
Aetna $96 - $660 90%
Molina Healthcare $96 90%
Humana $109 - $1,099 102%
Superior Health Plan $157 147%
Blue Cross Blue Shield $197 - $915 184%
Healthcare Highways $213 199%
Texas Athletic Network $300 - $600 281%
Evry Health $714 668%
Imagine Health $915 857%
Kelsey Care (Boon-Chapman) $915 857%
Christus (Usfhp) $1,046 979%
Curative Administrators $1,046 979%
Healthsmart Preferred Care $1,124 - $2,222 1052%
Averde Health $1,176 1101%
Fidelis Securecare Of Tx $1,176 1101%
Coventry National First Health $1,393 1304%
Physicians Cooperative Of Texas $1,438 1346%
Rockport Workers Comp $1,438 1346%
Independent Medical System $1,568 1468%
National Healthcare Solutions $1,568 1468%
Southwest Medical $1,568 1468%
Coastal Comp $1,699 1591%
Affiliated Ppo $1,960 1835%
Fiesta Mart, Inc $1,960 1835%
Multiplan $1,960 - $2,222 1835%
Physicians, Inc $2,222 2080%

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