CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Memorial Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $190
  • Cash Discount Price: $278
  • vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Memorial Medical Center is $190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $278. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.78x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$278

Average discount available for prompt cash payment at this facility.

Insurance Median
$190

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: $278 (260%)
Insurance Median: $190 (178%)
Cash: $278 (260% of Medicare)
Ins. Median: $190 (178% 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.

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 $26 - $190 24%
Amerigroup Mcr Adv-All Other Plans $27 - $194 25%
Care Improvement Plus - All Other Plans $27 - $194 25%
Care Improvement Plus Mcr $27 - $196 25%
Superior Allwell Mcr Adv-All Other Plans $27 - $194 25%
UnitedHealthcare $27 - $554 25%
Universal American Mcr-All Other Plans $27 - $194 25%
Universal American Snp $28 - $204 26%
Ambetter / Centene $33 - $233 31%
Coventry First Hlth Hmo Ppo-All Other Plans $34 - $554 32%
Coventry First Hlth Mcr Adv $34 - $194 32%
Galaxy Health Network-All Plans $39 - $589 37%
Capstar Health Network-All Plans $42 - $554 39%
Cigna $42 - $520 39%
Healthcare Highways-All Plans $67 - $554 63%
Prime Healthcare Services-All Plans $72 - $485 67%
Blue Cross Blue Shield $77 - $351 72%
Humana $82 - $554 77%
Corvel Work Comp-All Plans $87 - $589 81%
Independent Med Sys Ppo-All Plans $87 - $589 81%
Multiplan Mcr Adv $87 - $194 81%
Multiplan Phcs Ppo-All Other Plans $87 - $589 81%
Provider Select Ppo-All Plans $87 - $589 81%
Three Rivers Ppo-All Plans $87 - $589 81%
Usa Mso - All Plans $87 - $589 81%
Amerigroup Chip $102 - $333 95%
Amerigroup Star $102 - $333 95%
Amerigroup Star Kids $102 - $333 95%
Amerigroup Star Plus $102 - $333 95%
Comm Health Chip $102 - $333 95%
Comm Health Perinatal-All Other Plans $102 - $333 95%
Molina Chip/Star-All Plans $102 - $333 95%
Scott & White Chip/Star-All Plans $102 - $333 95%
Superior Chip/Star $102 - $333 95%
Texas Childrens Hp - All Plans $102 - $333 95%
Comm Health Mcaid Hmo $107 - $349 100%
Comm Health Star $107 - $349 100%
Aetna $554 519%

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