CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: St David's South Austin Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $842
  • Cash Discount Price: $2,258
  • vs. Medicare Baseline: 7.88x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at St David's South Austin Medical Center is $842. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,258. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.88x the Medicare baseline. Located in 901 West Ben White Blvd, Austin, TX.
Cash / Self-Pay
$2,258

Average discount available for prompt cash payment at this facility.

Insurance Median
$842

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: $2,258 (2114%)
Insurance Median: $842 (788%)
Cash: $2,258 (2114% of Medicare)
Ins. Median: $842 (788% 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 788% of the Medicare baseline (a markup of 688%). 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
Superior Health Plan $74 - $411 69%
Amerigroup $90 84%
St David’S Hospice $105 98%
United $109 - $1,088 102%
Blue Cross Blue Shield $110 - $771 103%
Molina Healthcare $115 108%
Humana $131 123%
Sendero $131 123%
Aetna $132 - $763 124%
Moda $347 - $568 325%
Covenant Management Systems $425 - $696 398%
Cigna $428 - $701 401%
Healthcare Highways $430 - $725 403%
Imo Med - Select Network $443 - $725 415%
Nomi Health $473 - $894 443%
Moda Health $532 - $894 498%
Evry Health $544 - $889 509%
Texas Healthcare Foundation Heb $546 - $894 511%
Texas Workforce Commission $576 - $943 539%
Curative Administrators $591 - $967 553%
Harbor Health Team $591 - $967 553%
Averde Health $665 - $1,088 623%
Comanche County $738 - $1,208 691%
Emerging Therapy Solutions $738 - $1,668 691%
National Choicecare $738 - $1,208 691%
Healthsmart Preferred Care $812 - $1,934 760%
Independent Medical Systems $812 - $1,329 760%
Physicians Cooperative Of Texas $812 - $1,329 760%
Prime Health $886 - $1,450 830%
First Health $931 - $1,738 872%
Coastal Comp Health Networks $960 - $1,571 899%
National Health Care $960 - $1,571 899%
Occunet $1,034 - $1,692 968%
Texas Municipal League $1,034 - $1,692 968%
Medcorp Southwest $1,108 - $1,813 1037%
Preferred Health Arrangement $1,108 - $1,813 1037%
Rockport Healthcare Group $1,182 - $2,175 1107%
Bce Emergis Corporation $1,329 - $2,175 1244%
Beech Street $1,329 - $2,175 1244%
Medical Control Network Solutions $1,329 - $2,175 1244%
Multiplan $1,329 - $2,175 1244%
UnitedHealthcare $1,477 - $2,417 1383%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 West Ben White Blvd, Austin, TX 78704
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals