CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Texas Health Harris Methodist Hospital Alliance

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $427
Cash Discount Price: $546
vs. Medicare Baseline: 4.00x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Texas Health Harris Methodist Hospital Alliance is $427. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $546. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.00x the Medicare baseline. Located in 10864 Texas Health Trail, Fort Worth, TX.

Cash / Self-Pay

$546

Average discount available for prompt cash payment at this facility.

Insurance Median

$427

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: $546 (511%)

Insurance Median: $427 (400%)

Cash: $546 (511% of Medicare)

Ins. Median: $427 (400% 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 400% of the Medicare baseline (a markup of 300%). 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
Amerigroup	$87 - $110	81%
Blue Cross Blue Shield	$87 - $885	81%
Cook Childrens	$87	81%
UnitedHealthcare	$87 - $578	81%
Superior Wellcare	$92 - $116	86%
Molina	$94 - $110	88%
Aetna	$96 - $637	90%
American Health	$105	98%
Healthspring	$107	100%
Humana	$109	102%
Fort Worth Firefighters	$378 - $555	354%
City Of Fort Worth	$427	400%
Cigna	$503 - $856	471%
Quick Trip	$546 - $573	511%
Phcs	$632 - $677	592%
Healthsmart	$682 - $764	639%
Multiplan	$791	741%
Galaxy	$800	749%
Usa	$800	749%

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 $546.
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 Health Harris Methodist Hospital Alliance 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.