CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: St Luke's Sugar Land Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $287
Cash Discount Price: $1,069
vs. Medicare Baseline: 2.69x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at St Luke's Sugar Land Hospital is $287. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,069. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.69x the Medicare baseline. Located in 1317 Lake Pointe Parkway, Sugar Land, TX.

Cash / Self-Pay

$1,069

Average discount available for prompt cash payment at this facility.

Insurance Median

$287

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: $1,069 (1001%)

Insurance Median: $287 (269%)

Cash: $1,069 (1001% of Medicare)

Ins. Median: $287 (269% 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 269% of the Medicare baseline (a markup of 169%). 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
Renaissance	$77	72%
Wellpoint	$87 - $160	81%
UnitedHealthcare	$89 - $2,524	83%
United	$90 - $1,436	84%
Blue Cross Blue Shield	$92 - $378	86%
Chc	$102 - $1,680	95%
Cigna	$107 - $2,138	100%
Humana	$107 - $1,986	100%
Selectcare	$107	100%
Aetna	$109 - $2,077	102%
Amerivantage	$110	103%
Kelsey	$113	106%
Devoted	$114	107%
Scanhealth	$114	107%
Kindred	$117	110%
Kelseycare	$144	135%
Community Health Choice	$160	150%
Superior Health Plan	$160	150%
Bright Health	$182	170%
Tchp	$244 - $328	228%
Nx Health	$346	324%
Tchpchip	$1,069 - $1,314	1001%
Texastruechoice	$1,680	1573%
Coventry	$1,986	1859%
First Health	$1,986	1859%
Healthsmart	$2,138	2002%
Interlink	$2,138	2002%
Multiplan	$2,291	2145%
USA Health Network	$2,597	2431%
Mhealth Network	$3,055	2860%

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 $1,069.
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 St Luke's Sugar Land 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.