CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Baylor Scott & White Hospital Brenham

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $533
Cash Discount Price: $622
vs. Medicare Baseline: 4.99x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Baylor Scott & White Hospital Brenham is $533. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $622. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.99x the Medicare baseline. Located in 700 Medical Parkway, Brenham, TX.

Cash / Self-Pay

$622

Average discount available for prompt cash payment at this facility.

Insurance Median

$533

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: $622 (582%)

Insurance Median: $533 (499%)

Cash: $622 (582% of Medicare)

Ins. Median: $533 (499% 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 499% of the Medicare baseline (a markup of 399%). 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
Baylor Scott & White Health Plan	$128 - $444	120%
Triwest	$135	126%
Corvel	$141	132%
Prime Health Services	$141	132%
American Health Plan	$142	133%
Blue Cross Blue Shield	$142 - $430	133%
Healthspring	$142	133%
Procare Advantage	$142	133%
Superior Health Plan	$142	133%
Careworks Fka Rockport	$167	156%
Injury Management Organization	$167	156%
Sedgwick	$167	156%
Cigna	$533 - $625	499%
Aetna	$570	534%
Midcoast	$570	534%
Quiktrip	$570	534%
UnitedHealthcare	$573	536%
Imagine Health	$593	555%
University Of Mary Hardin-Baylor	$601	563%
Independent Medical System	$622	582%
Curative	$674	631%
First Health	$726	680%
Healthsmart	$726 - $777	680%
Humana	$726 - $829	680%
Private Health Care System	$777	727%
Bluebell Creameries	$933	874%

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 $622.
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 Hospital Brenham 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.