CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Houston Healthcare Kingwood

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $734
  • Cash Discount Price: $3,019
  • vs. Medicare Baseline: 6.87x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Houston Healthcare Kingwood is $734. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,019. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.87x the Medicare baseline. Located in 22999 Us Hwy 59, Kingwood, TX.
Cash / Self-Pay
$3,019

Average discount available for prompt cash payment at this facility.

Insurance Median
$734

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: $3,019 (2827%)
Insurance Median: $734 (687%)
Cash: $3,019 (2827% of Medicare)
Ins. Median: $734 (687% 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 687% of the Medicare baseline (a markup of 587%). 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 - $501 81%
Community Health Choice Mcd $89 83%
United $90 - $1,359 84%
Aetna $96 - $644 90%
Molina Healthcare $96 90%
Humana $109 - $1,099 102%
Superior Health Plan $181 169%
Blue Cross Blue Shield $197 - $1,057 184%
Healthcare Highways $213 199%
Texas Athletic Network $300 - $600 281%
Evry Health $824 - $825 771%
Imagine Health $1,057 990%
Kelsey Care (Boon-Chapman) $1,057 990%
Christus (Usfhp) $1,208 1131%
Curative Administrators $1,208 1131%
Healthsmart Preferred Care $1,298 - $2,567 1215%
Averde Health $1,359 1272%
Fidelis Securecare Of Tx $1,359 1272%
Coventry National First Health $1,609 - $1,610 1506%
Physicians Cooperative Of Texas $1,660 - $1,661 1554%
Rockport Workers Comp $1,660 - $1,661 1554%
Independent Medical System $1,811 - $1,812 1696%
National Healthcare Solutions $1,811 - $1,812 1696%
Southwest Medical $1,811 - $1,812 1696%
Coastal Comp $1,962 - $1,963 1837%
Multiplan $2,264 - $2,567 2120%
Physicians, Inc $2,566 - $2,567 2402%
Usa Managed Care $2,566 - $2,567 2402%
Affiliated Ppo $2,717 - $2,719 2544%

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