CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Texas Childrens Hospital North Austin Campus

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $898
Cash Discount Price: $947
vs. Medicare Baseline: 8.41x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Texas Childrens Hospital North Austin Campus is $898. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $947. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.41x the Medicare baseline. Located in 9835 North Lake Creek Parkway Bldg A, Austin, TX.

Cash / Self-Pay

$947

Average discount available for prompt cash payment at this facility.

Insurance Median

$898

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: $947 (887%)

Insurance Median: $898 (841%)

Cash: $947 (887% of Medicare)

Ins. Median: $898 (841% 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 841% of the Medicare baseline (a markup of 741%). 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
Superior Chip	$105 - $110	98%
Driscoll Children'S Health Plan Mcd	$115	108%
UnitedHealthcare	$343 - $382	321%
First Care Health Plan	$382 - $906	358%
Molina Mcd	$424	397%
Blue Cross Blue Shield	$495 - $891	463%
Community Health Choice	$499 - $906	467%
Community First Health Plan Mcd	$565 - $566	529%
Cook Children'S Health Plan	$565 - $566	529%
Cigna	$626 - $906	586%
Aetna	$904 - $906	846%
Kelseycare	$918 - $920	859%
Healthsmart	$989 - $990	926%
Evolutions Healthcare	$1,060 - $1,061	992%
First Health	$1,243 - $1,344	1164%
Multiplan	$1,272 - $1,274	1191%
Galaxy Health Network	$1,342 - $1,344	1256%

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 $947.
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 Texas Childrens Hospital North Austin Campus 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.