CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Medical City Green Oaks Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $810
Cash Discount Price: $1,373
vs. Medicare Baseline: 7.58x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Medical City Green Oaks Hospital is $810. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,373. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.58x the Medicare baseline. Located in 7808 Clodus Fields Drive, Dallas, TX.

Cash / Self-Pay

$1,373

Average discount available for prompt cash payment at this facility.

Insurance Median

$810

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: $1,373 (1285%)

Insurance Median: $810 (758%)

Cash: $1,373 (1285% of Medicare)

Ins. Median: $810 (758% 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 758% of the Medicare baseline (a markup of 658%). 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	$96	90%
Humana	$252 - $893	236%
Healthcare Highways	$336 - $464	315%
Evry Health	$354	331%
City Of Mckinney	$618	579%
Pc Texas Partners	$755	707%
Physicians Coop Of Tx	$755	707%
Averde Health, Inc	$796	745%
Aetna	$824 - $968	771%
Magellan Bh	$824	771%
Value Options Behavioral Health	$824	771%
Usa Managed Care	$893	836%
Coastal Comp Health Networks	$961	900%
Cigna	$1,099	1029%
Compsych Corporation	$1,099	1029%
Galaxy Health Network	$1,167	1093%
Three Rivers Provider Network	$1,236	1157%
Independent Medical Systems	$1,373	1285%
National Healthcare Solutions	$1,373	1285%

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 $1,373.
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 Medical City Green Oaks Hospital 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.