Ultrasound, abdomen at Northwest Texas Healthcare System. CPT 76700.
What Northwest Texas Healthcare System publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
—cash price (self-pay)
$1,870list price
$68.19–$1,496range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oklahoma | Medicaid | $68.19 |
| Superior | Medicaid | $105 |
| Cigna | Managed_care | $106 |
| Molina | Medicaid | $110 |
| First_care_chip | Medicaid | $115 |
| Wellpoint_starkids | Medicaid | $288 |
| Superior_starkids | Medicaid | $317 |
| Amerigroup | Medicaid | $317 |
| Blue_cross_blue_shield_of_tx | Advantage | $338 |
| First_care_star | Medicaid | $349 |
| Superior_star | Medicaid | $349 |
| Blue_cross_blue_shield_of_tx | HMO | $370 |
| Aetna | Managed_care | $374 |
| Superior_star_plus | Medicaid | $374 |
| Wellpoint_ Amgrp_star_plus | Medicaid | $374 |
| Blue_cross_blue_shield_of_tx | Managed_care | $397 |
| Blue_cross_blue_shield_of_tx | PPO | $410 |
| First_care_star_plus | Medicaid | $411 |
| Scott_and_white_healthplan | Managed_care | $505 |
| Multiplan | Managed_care | $1,496 |
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