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Ultrasound, abdomen at Methodist Southlake Medical Center. CPT 76700.

What Methodist Southlake Medical Center publishes for this service, straight from its standard-charges file, last updated March 23, 2026.

Outpatient / ER

$470cash price (self-pay)
$1,566list price
$99.51–$1,566range insurers pay
Insurance planNegotiated rate
Champva [1000] | Mhs Hb Tricare Msmc$102
Tricare [1001] | Mhs Hb Tricare Msmc$102
Ust Health Proof [1005] | Mhs Hb UHC Medicare Complete Msmc$105
United Healthcare Medicare Managed Care [3044] | Mhs Hb UHC Medicare C$105
Globalhealth [1003] | Mhs Hb Global Health Msmc$110
Humana Commercial [2051] | Mhs Hb Humana Medicare Msmc$112
United Healthcare Managed Care [3021] | Mhs Hb UHC Exchange Msmc$113
Oscar Insurance Company [2057] | Mhs Hb Oscar HMO Msmc$137
Bright Healthcare [2222] | Mhs Hb Bright Health Msmc$147
Molina [3017] | Mhs Hb Molina Marketplace Msmc$153
Aetna [3000] | Mhs Hb Aetna Exchange Msmc$170
Aetna [3000] | Mhs Hb Aetna Cvs Msmc$170
Allied National [2031] | Mhs Hb 90 Degree Msmc$174
Entrust/90 Degree [2058] | Mhs Hb 90 Degree Msmc$174
Friday Health Plan [2061] | Mhs Hb Friday Health Msmc$179
BCBS [3001] | Mhs Hb BCBS My Blue Health Msmc$189
Cigna [3004] | Mhs Hb Custom Ink Msmc$195
Evry Health [1013] | Mhs Hb Evry Msmc$210
Healthscope Benefits [2052] | Mhs Hb Dart Member Care Msmc$284
Dart Member Care [3039] | Mhs Hb Dart Member Care Msmc$284
Aetna Commercial [2042] | Mhs Hb Aetna TX Pref Plus II Msmc$287
Aetna Managed Care [2068] | Mhs Hb Aetna TX Pref Plus II Msmc$287
BCBS [3001] | Mhs Hb BCBS High Performance Network Msmc$312
BCBS [3001] | Mhs Hb BCBS Premier Msmc$312
BCBS [3001] | Mhs Hb BCBS City Of Dallas Msmc$324
BCBS [3001] | Mhs Hb BCBS HMO Msmc$331
Aetna Commercial [2042] | Mhs Hb Aetna Texas Advantage Msmc$341
Aetna Managed Care [2068] | Mhs Hb Aetna Whole Health Msmc$341
Aetna Managed Care [2068] | Mhs Hb Aetna Texas Advantage Msmc$341
BCBS [3001] | Mhs Hb BCBS PPO Msmc$360
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All common services at Methodist Southlake Medical Center