CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Memorial Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $267
  • Cash Discount Price: $387
  • vs. Medicare Baseline: 2.50x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Memorial Medical Center is $267. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $387. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.50x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$387

Average discount available for prompt cash payment at this facility.

Insurance Median
$267

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: $387 (362%)
Insurance Median: $267 (250%)
Cash: $387 (362% of Medicare)
Ins. Median: $267 (250% 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 250% of the Medicare baseline (a markup of 150%). 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
Triwest Va Pccc-All Plans $36 - $267 34%
Amerigroup Mcr Adv-All Other Plans $37 - $272 35%
Care Improvement Plus - All Other Plans $37 - $272 35%
Care Improvement Plus Mcr $37 - $275 35%
Superior Allwell Mcr Adv-All Other Plans $37 - $272 35%
UnitedHealthcare $37 - $778 35%
Universal American Mcr-All Other Plans $37 - $272 35%
Universal American Snp $39 - $286 37%
Ambetter / Centene $43 - $327 40%
Coventry First Hlth Hmo Ppo-All Other Plans $46 - $778 43%
Coventry First Hlth Mcr Adv $46 - $272 43%
Galaxy Health Network-All Plans $53 - $827 50%
Capstar Health Network-All Plans $58 - $778 54%
Cigna $58 - $730 54%
Healthcare Highways-All Plans $87 - $778 81%
Prime Healthcare Services-All Plans $93 - $681 87%
Blue Cross Blue Shield $100 - $351 94%
Humana $107 - $778 100%
Corvel Work Comp-All Plans $113 - $827 106%
Independent Med Sys Ppo-All Plans $113 - $827 106%
Multiplan Mcr Adv $113 - $272 106%
Multiplan Phcs Ppo-All Other Plans $113 - $827 106%
Provider Select Ppo-All Plans $113 - $827 106%
Three Rivers Ppo-All Plans $113 - $827 106%
Usa Mso - All Plans $113 - $827 106%
Amerigroup Chip $133 - $467 125%
Amerigroup Star $133 - $467 125%
Amerigroup Star Kids $133 - $467 125%
Amerigroup Star Plus $133 - $467 125%
Comm Health Chip $133 - $467 125%
Comm Health Perinatal-All Other Plans $133 - $467 125%
Molina Chip/Star-All Plans $133 - $467 125%
Scott & White Chip/Star-All Plans $133 - $467 125%
Superior Chip/Star $133 - $467 125%
Texas Childrens Hp - All Plans $133 - $467 125%
Comm Health Mcaid Hmo $140 - $490 131%
Comm Health Star $140 - $490 131%
Aetna $778 728%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals