CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Ascension Seton Edgar B Davis

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $137
Cash Discount Price: $273
vs. Medicare Baseline: 1.28x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Ascension Seton Edgar B Davis is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $273. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.28x the Medicare baseline. Located in 130 Hays Street, Luling, TX.

Cash / Self-Pay

$273

Average discount available for prompt cash payment at this facility.

Insurance Median

$137

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: $273 (256%)

Insurance Median: $137 (128%)

Cash: $273 (256% of Medicare)

Ins. Median: $137 (128% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Champva	$86 - $119	81%
Blue Cross Blue Shield	$99 - $454	93%
Dell Star	$99 - $137	93%
UnitedHealthcare	$99 - $137	93%
Wellpoint Star	$99 - $137	93%
Wellpoint Star Plus	$99 - $137	93%
Ambetter / Centene	$107 - $116	100%
Wellpoint Chip/Chip Perinate	$107 - $135	100%
Wellpoint Star Kids	$107 - $135	100%
Dell Chip/Chip Perinate	$114 - $137	107%
Humana	$148	139%
Tricare	$148	139%
Superior Star	$262 - $344	245%
Superior Star Foster	$262 - $344	245%
Superior Star Kids	$262 - $344	245%
Superior Star Plus	$262 - $344	245%
Superior Chip/Chip Perinate	$295 - $387	276%
Cigna	$350	328%
Seton Performance Plus	$356	333%
Aetna	$509 - $928	477%
Covenant Health	$806	755%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $273.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ascension Seton Edgar B Davis is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.