CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Ascension Seton Edgar B Davis

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $137
  • Cash Discount Price: $236
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Ascension Seton Edgar B Davis is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $236. 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
$236

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: $236 (221%)
Insurance Median: $137 (128%)
Cash: $236 (221% 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.

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 $65 - $89 61%
Ambetter / Centene $87 - $89 81%
Blue Cross Blue Shield $87 - $454 81%
Dell Chip/Chip Perinate $87 - $137 81%
Dell Star $87 - $137 81%
UnitedHealthcare $87 - $137 81%
Wellpoint Chip/Chip Perinate $87 - $135 81%
Wellpoint Star $87 - $137 81%
Wellpoint Star Plus $87 - $137 81%
Wellpoint Star Kids $89 - $135 83%
Humana $111 104%
Tricare $148 139%
Superior Star $217 - $308 203%
Superior Star Foster $217 - $308 203%
Superior Star Kids $217 - $308 203%
Superior Star Plus $217 - $308 203%
Superior Chip/Chip Perinate $244 - $346 228%
Cigna $350 328%
Seton Performance Plus $356 333%
Aetna $383 - $732 359%
Covenant Health $607 568%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 130 Hays Street, Luling, TX 78648
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals