CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Medical City Green Oaks Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $939
Cash Discount Price: $1,592
vs. Medicare Baseline: 8.79x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Medical City Green Oaks Hospital is $939. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,592. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.79x the Medicare baseline. Located in 7808 Clodus Fields Drive, Dallas, TX.

Cash / Self-Pay

$1,592

Average discount available for prompt cash payment at this facility.

Insurance Median

$939

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: $1,592 (1490%)

Insurance Median: $939 (879%)

Cash: $1,592 (1490% of Medicare)

Ins. Median: $939 (879% 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 879% of the Medicare baseline (a markup of 779%). 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 Health Plan	$111	104%
Humana	$333 - $1,035	312%
Healthcare Highways	$390 - $538	365%
Evry Health	$411	385%
City Of Mckinney	$716	670%
Pc Texas Partners	$876	820%
Physicians Coop Of Tx	$876	820%
Averde Health, Inc	$923	864%
Aetna	$955 - $1,122	894%
Magellan Bh	$955	894%
Value Options Behavioral Health	$955	894%
Usa Managed Care	$1,035	969%
Coastal Comp Health Networks	$1,114	1043%
Cigna	$1,274	1193%
Compsych Corporation	$1,274	1193%
Galaxy Health Network	$1,353	1267%
Three Rivers Provider Network	$1,433	1342%
Independent Medical Systems	$1,592	1490%
National Healthcare Solutions	$1,592	1490%

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 $1,592.
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 Medical City Green Oaks Hospital 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.