CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Baylor Scott & White Medical Center Pflugerville

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $430
Cash Discount Price: $560
vs. Medicare Baseline: 4.03x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Baylor Scott & White Medical Center Pflugerville is $430. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $560. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.03x the Medicare baseline. Located in 2600 East Pflugerville Parkway, Pflugerville, TX.

Cash / Self-Pay

$560

Average discount available for prompt cash payment at this facility.

Insurance Median

$430

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: $560 (524%)

Insurance Median: $430 (403%)

Cash: $560 (524% of Medicare)

Ins. Median: $430 (403% 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 403% of the Medicare baseline (a markup of 303%). 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	$89 - $98	83%
Baylor Scott & White Health Plan	$93 - $399	87%
Humana	$98 - $653	92%
Triwest	$98	92%
American Health Plan	$103	96%
Corvel	$103	96%
Healthspring	$103	96%
Prime Health Services	$103	96%
Procare Advantage	$103	96%
UnitedHealthcare	$113 - $645	106%
Sedgwick	$147	138%
Blue Cross Blue Shield	$353 - $430	330%
Cigna	$443 - $517	415%
Aetna	$513	480%
Midcoast	$513	480%
Quiktrip	$513	480%
University Of Mary Hardin-Baylor	$541	507%
Independent Medical System	$560	524%
Curative	$606	567%
First Health	$653	611%
Healthsmart	$653 - $700	611%
Private Health Care System	$700	655%
Three Rivers	$839	786%

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 $560.
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 Baylor Scott & White Medical Center Pflugerville 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.