Ultrasound, abdomen at Lake Granbury Medical Center. CPT 76700.
What Lake Granbury Medical Center publishes for this service, straight from its standard-charges file, last updated April 1, 2026.
Outpatient / ER
$92.88cash price (self-pay)
$1,489list price
$30.96–$2,338range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| NODE Tricare | NODE Tricare | $99.77 |
| NODE ChampVA | NODE ChampVA | $105 |
| BCBS TX | BCBS TX Blue ADV | $106 |
| NODE Aetna CHIP Medicaid TX | NODE Aetna CHIP Medicaid TX | $132 |
| NODE Cook Childrens Health Plan CHIP Medicaid TX | NODE Cook Childrens | $132 |
| Medicaid | NODE TX Medicaid | $132 |
| NON PAR TX Medicaid | NODE TX Medicaid NON PAR | $132 |
| NODE UHC CHIP/STAR KIDS Medicaid TX | NODE UHC CHIP Medicaid TX | $132 |
| NODE UHC STAR KIDS Medicaid TX | NODE UHC STAR KIDS Medicaid TX | $132 |
| NODE UHC STAR Medicaid TX | NODE UHC STAR Medicaid TX | $132 |
| Healthspring | NODE Cigna Healthspring Medicaid TX | $139 |
| NODE Molina CHIP Medicaid TX | NODE Molina CHIP Medicaid TX | $139 |
| NODE Molina Medicaid TX | NODE Molina STAR Medicaid TX | $139 |
| NODE Superior CHIP/STAR KIDS/ STAR HEALTH Medicaid TX | NODE Superior | $152 |
| NODE Superior STAR KIDS Medicaid TX | NODE Superior STAR KIDS Medicaid | $152 |
| Superior | NODE Superior STAR Medicaid TX | $152 |
| NODE Superior STAR PLUS Medicaid TX | NODE Superior STAR PLUS Medicaid | $152 |
| NODE Aetna STAR KIDS Medicaid TX | NODE Aetna STAR KIDS Medicaid TX | $180 |
| NODE Cook Childrens Health Plan STAR KIDS Medicaid TX | NODE Cook Chil | $180 |
| Amerigroup | NODE Wellpoint CHIP Medicaid TX | $213 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $375 |
| Cigna | Cigna New Business | $378 |
| United Healthcare | NODE UHC STAR PLUS Medicaid TX | $409 |
| NODE Molina STAR PLUS Medicaid TX | NODE Molina STAR PLUS Medicaid TX | $430 |
| Aetna | NODE Aetna STAR Medicaid TX | $475 |
| NODE Cook Childrens Health Plan Medicaid TX | NODE Cook Childrens Heal | $475 |
| BCBS TX | BCBS TX HMO | $532 |
| BCBS TX | BCBS TX PPO Trad | $532 |
| Cigna | Cigna ALL | $586 |
| Aetna | Aetna Whole Health | $677 |
Inpatient
$139cash price (self-pay)
$1,489list price
$56.76–$2,338range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Self Pay | Self Pay | $164 |
| CHS Group Health Plan BCBST | CHS Group Health Plan BCBST | $375 |
| Cigna | Cigna New Business | $378 |
| United Healthcare | UHC APA | $633 |
| Aetna | Aetna Whole Health | $677 |
| Aetna | Aetna NBD | $714 |
| Aetna | Aetna PPO HMO | $796 |
| Healthsmart | Healthsmart ACCEL | $819 |
| Aetna | Aetna NAB First Health Rental | $847 |
| Aetna | Aetna Auto | $1,023 |
| Healthsmart | Healthsmart PPO HPO | $1,042 |
| Santa Fe Hospital Association | Santa Fe Hospital Association | $1,191 |
| Multiplan | Multiplan Complementary | $1,310 |
| Galaxy Health | Galaxy Health PPO | $1,414 |
| MedCorp Southwest | MedCorp Southwest | $1,414 |
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