CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Rio Grande Regional Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $1,825
  • Cash Discount Price: $4,836
  • vs. Medicare Baseline: 17.09x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Rio Grande Regional Hospital is $1,825. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,836. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.09x the Medicare baseline. Located in 101 E Ridge Rd, McAllen, TX.
Cash / Self-Pay
$4,836

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,825

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: $4,836 (4528%)
Insurance Median: $1,825 (1709%)
Cash: $4,836 (4528% of Medicare)
Ins. Median: $1,825 (1709% 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 1709% of the Medicare baseline (a markup of 1609%). 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 $104 97%
Driscoll Children'S Health Plan $108 101%
United $109 - $2,299 102%
Aetna $115 108%
Molina Healthcare $115 108%
Healthcare Highways $213 199%
Blue Cross Blue Shield $253 - $2,299 237%
Texas Athletic Network $300 - $600 281%
Superior Health Plan $319 - $358 299%
Humana $370 346%
Texas Workforce Commission $1,095 - $1,226 1025%
Cigna $1,478 - $2,181 1384%
Averde Health $1,506 - $1,686 1410%
Allegian Health $1,825 - $2,044 1709%
Curative Administrators $1,825 - $2,044 1709%
Healthsmart Preferred Care $1,962 - $4,343 1837%
First Health $2,623 - $2,938 2456%
National Healthcare Solutions $2,737 - $3,065 2562%
Southwest Medical $2,737 - $3,065 2562%
Coastal Comp $2,966 - $3,321 2777%
Usa Managed Care $2,966 - $4,087 2777%
Ppo Next/ Medical Control $3,422 - $3,832 3204%
Beech Street $3,650 - $4,087 3417%
Multiplan $3,650 - $4,087 3417%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 E Ridge Rd, McAllen, TX 78503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals