CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Yoakum Community Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $688
  • Cash Discount Price: $597
  • vs. Medicare Baseline: 6.44x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Yoakum Community Hospital is $688. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $597. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.44x the Medicare baseline. Located in 1200 Carl Ramert Drive, Yoakum, TX.
Cash / Self-Pay
$597

Average discount available for prompt cash payment at this facility.

Insurance Median
$688

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: $597 (559%)
Insurance Median: $688 (644%)
Cash: $597 (559% of Medicare)
Ins. Median: $688 (644% 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 644% of the Medicare baseline (a markup of 544%). 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
Blue Cross Blue Shield $303 - $687 284%
Humana $376 352%
Medicare (plans) $376 352%
Prime Health Svcs Mcr Advantage $376 352%
Scott & White Mcare Advan $376 352%
Superior Mcr Advantage $376 352%
Triwest Va Ccn-All Plans $376 352%
Tx Independent Hp Mcr Advantage-All Plans $376 352%
UnitedHealthcare $376 - $734 352%
Superior Hix-All Other Plans $471 441%
Kempton Group Admin Ppo-All Plans $602 564%
Entrust - All Plans $640 599%
Medicaid / KanCare $668 - $918 625%
Amera-Net-All Plans $689 645%
Scott & White Ppo-All Other Plans $689 645%
Healthsmart Ppo-All Other Plans $716 670%
Blue Bell Creameries Emp-All Plans $734 687%
Cigna $734 687%
Americas Health Plan-All Plans $780 730%
Beech Street-All Plans $780 730%
Directcare America-All Plans $780 730%
Galaxy Ppo - All Plans $780 730%
Health Star Comm Ip/Op Only - All Plans $780 730%
Medcorp Southwest Ppo-All Plans $780 730%
Medical Control Ppo-All Plans $780 730%
Phcs Multiplan - All Plans $780 730%
Aetna $826 773%
Healthsmart Work Comp $826 773%
Prime Health Svcs Ppo-All Other Plans $826 773%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 Carl Ramert Drive, Yoakum, TX 77995
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals