CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Medical City Alliance

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $249
Cash Discount Price: $2,505
vs. Medicare Baseline: 2.33x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Medical City Alliance is $249. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,505. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.33x the Medicare baseline. Located in 3101 North Tarrant Parkway, Fort Worth, TX.

Cash / Self-Pay

$2,505

Average discount available for prompt cash payment at this facility.

Insurance Median

$249

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: $2,505 (2345%)

Insurance Median: $249 (233%)

Cash: $2,505 (2345% of Medicare)

Ins. Median: $249 (233% 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 233% of the Medicare baseline (a markup of 133%). 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	81%
Cook Childrens Health Plan	$87	81%
Parkland Community Health Plan	$87	81%
United	$87 - $655	81%
Cigna	$92 - $404	86%
Aetna	$94 - $2,098	88%
Superior Health Plan	$95 - $202	89%
Molina	$96 - $98	90%
Humana	$109 - $894	102%
Blue Cross Blue Shield	$133 - $1,281	125%
Healthcare Highways	$332 - $975	311%
Evry Health	$350 - $745	328%
Curative Administrators	$542 - $1,154	507%
Multiplan Phcs	$949 - $2,020	888%
Healthsmart Preferred Care	$1,016 - $2,165	951%
Independent Medical Systems	$1,355 - $2,886	1269%
National Healthcare Solutions	$1,355 - $2,886	1269%

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 $2,505.
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 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.