CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Texas Childrens Hospital North Austin Campus

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $716
Cash Discount Price: $750
vs. Medicare Baseline: 6.70x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Texas Childrens Hospital North Austin Campus is $716. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $750. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.70x the Medicare baseline. Located in 9835 North Lake Creek Parkway Bldg A, Austin, TX.

Cash / Self-Pay

$750

Average discount available for prompt cash payment at this facility.

Insurance Median

$716

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: $750 (702%)

Insurance Median: $716 (670%)

Cash: $750 (702% of Medicare)

Ins. Median: $716 (670% 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 670% of the Medicare baseline (a markup of 570%). 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	$87 - $92	81%
Driscoll Children'S Health Plan Mcd	$96	90%
First Care Health Plan	$302 - $717	283%
UnitedHealthcare	$302	283%
Molina Mcd	$335 - $336	314%
Blue Cross Blue Shield	$391 - $706	366%
Community Health Choice	$395 - $717	370%
Community First Health Plan Mcd	$447 - $448	419%
Cook Children'S Health Plan	$447 - $448	419%
Cigna	$637 - $717	596%
Aetna	$716 - $717	670%
Kelseycare	$727 - $728	681%
Healthsmart	$783 - $784	733%
Evolutions Healthcare	$838 - $840	785%
First Health	$984 - $1,064	921%
Multiplan	$1,006 - $1,008	942%
Galaxy Health Network	$1,062 - $1,064	994%

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 $750.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

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 76705.
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.