CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Cook Childrens Medical Center Prosper

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $498
Cash Discount Price: $1,009
vs. Medicare Baseline: 4.66x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Cook Childrens Medical Center Prosper is $498. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,009. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.66x the Medicare baseline. Located in 4100 W University Drive, Prosper, TX.

Cash / Self-Pay

$1,009

Average discount available for prompt cash payment at this facility.

Insurance Median

$498

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: $1,009 (945%)

Insurance Median: $498 (466%)

Cash: $1,009 (945% of Medicare)

Ins. Median: $498 (466% 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 466% of the Medicare baseline (a markup of 366%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$126 - $1,144	118%
Beacon	$135 - $727	126%
El Paso Health First	$135 - $727	126%
Health Plan W. Uhrip	$135	126%
Health Plan W/O Uhrip	$135 - $727	126%
Tx Children Health	$135 - $727	126%
Wellpoint	$141	132%
Blue Cross Blue Shield	$145 - $1,211	136%
Superior Health	$145	136%
Firstcare	$148 - $1,076	139%
United Community	$148 - $498	139%
UnitedHealthcare	$592 - $1,144	554%
S&W Health	$1,130	1058%
Cigna	$1,144	1071%
Healthscope	$1,144	1071%
Imagine Health	$1,144	1071%
Humana	$1,171 - $1,184	1096%
Multiplan	$1,171	1096%
First Health	$1,184	1109%
Galaxy Health	$1,211	1134%
Healthsmart	$1,211	1134%
Usamco	$1,238	1159%

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 $1,009.
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 Cook Childrens Medical Center Prosper 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.