CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Houston Healthcare Kingwood

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $673
  • Cash Discount Price: $6,312
  • vs. Medicare Baseline: 6.30x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Houston Healthcare Kingwood is $673. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,312. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.30x the Medicare baseline. Located in 22999 Us Hwy 59, Kingwood, TX.
Cash / Self-Pay
$6,312

Average discount available for prompt cash payment at this facility.

Insurance Median
$673

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: $6,312 (5910%)
Insurance Median: $673 (630%)
Cash: $6,312 (5910% of Medicare)
Ins. Median: $673 (630% 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 630% of the Medicare baseline (a markup of 530%). 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 - $1,048 98%
Community Health Choice Mcd $107 100%
United $109 - $2,840 102%
Aetna $115 - $855 108%
Molina Healthcare $115 108%
Humana $131 - $2,014 123%
Blue Cross Blue Shield $197 - $2,209 184%
Healthcare Highways $213 199%
Texas Athletic Network $300 - $600 281%
Superior Health Plan $379 355%
Evry Health $1,723 1613%
Imagine Health $2,209 2068%
Kelsey Care (Boon-Chapman) $2,209 2068%
Christus (Usfhp) $2,525 2364%
Curative Administrators $2,525 2364%
Healthsmart Preferred Care $2,714 - $5,365 2541%
Averde Health $2,840 2659%
Fidelis Securecare Of Tx $2,840 2659%
Coventry National First Health $3,364 3150%
Physicians Cooperative Of Texas $3,471 3250%
Rockport Workers Comp $3,471 3250%
Independent Medical System $3,787 3546%
National Healthcare Solutions $3,787 3546%
Southwest Medical $3,787 3546%
Coastal Comp $4,103 3841%
Multiplan $4,734 - $5,365 4432%
Physicians, Inc $5,365 5023%
Usa Managed Care $5,365 5023%
Affiliated Ppo $5,681 5319%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 22999 Us Hwy 59, Kingwood, TX 77325
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals