CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Methodist McKinney Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $120
Cash Discount Price: $783
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Methodist McKinney Hospital is $120. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $783. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.12x the Medicare baseline. Located in 8000 W Eldorado Pkwy Bldg C Suite C, McKinney, TX.

Cash / Self-Pay

$783

Average discount available for prompt cash payment at this facility.

Insurance Median

$120

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: $783 (733%)

Insurance Median: $120 (112%)

Cash: $783 (733% of Medicare)

Ins. Median: $120 (112% 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.

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
Champva [1000]	$102	95%
Tricare	$102	95%
Triwest Wps [8010]	$102	95%
Veterans Administration [9001]	$102	95%
Aetna	$103 - $318	96%
Blue Cross Blue Shield	$103 - $259	96%
Medicare (plans)	$103 - $110	96%
UnitedHealthcare	$103 - $110	96%
Ust Health Proof [1005]	$103	96%
Wellcare [7016]	$103	96%
American Health Advantage Of Texas [7099]	$108	101%
Cigna	$108 - $109	101%
Globalhealth [1003]	$108	101%
Procare Advantage [7018]	$108	101%
Humana	$109	102%
Southwestern Health Resources Swhr [7015]	$109	102%
Provider Partners Health Plan [7025]	$111	104%
Alternative Service Concepts [8005]	$128	120%
Oscar Insurance Company [2057]	$134	125%
Bright Healthcare [2222]	$144	135%
Molina [3017]	$149	140%
Wellpoint Marketplace Exchange [3071]	$159	149%
90 Degree Benefit [3057]	$169	158%
Allied National [2031]	$169	158%
Entrust/90 Degree [2058]	$169	158%
Friday Health Plan [2061]	$175	164%
Ambetter / Centene	$176	165%
Imperial Insurance Companies [3073]	$185	173%
Evry Health [1013]	$205	192%
Sana Benefits [3069]	$205	192%
Velocity [3070]	$205	192%
Web Tpa [3049]	$286 - $318	268%

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 $783.
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 Methodist McKinney 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.