Ultrasound, abdomen at St David's Medical Center. CPT 76700.
What St David's Medical Center publishes for this service, straight from its standard-charges file, last updated September 1, 2026.
Outpatient / ER
$1,583cash price (self-pay)
$1,599list price
$79.15–$1,439range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Superior Health Plan | CHIP | $79.95 |
| Superior Health Plan | CHPFC | $79.95 |
| Superior Health Plan | STAR | $79.95 |
| Superior Health Plan | STARPLUS | $79.95 |
| United | MGMCD | $109 |
| Superior Health Plan | AmbetterEPO | $272 |
| Superior Health Plan | AmbetterHMO | $272 |
| Superior Health Plan | ValueHMO | $272 |
| Moda | Hix | $376 |
| Covenant Management Systems | HMO | $427 |
| Humana | HMO | $444 |
| Humana | PPO | $444 |
| Healthcare Highways | EPO | $465 |
| Healthcare Highways | PPO | $480 |
| IMO Med - Select Network | WC | $480 |
| BCBS | Traditional | $510 |
| Nomi Health | COMMTier1OutofNetwork | $512 |
| MODA Health | EPO | $576 |
| Evry Health | BroadNetwork | $588 |
| MODA Health | PPO | $592 |
| Nomi Health | COMMTier1 | $592 |
| Nomi Health | Tier2OutofNetwork | $592 |
| Texas Healthcare Foundation HEB | COMM | $592 |
| Curative Administrators | COMM | $640 |
| Harbor Health Team | COMMPPO | $640 |
| Comanche County | LOCALGOV | $800 |
| National ChoiceCare | WC | $800 |
| HealthSmart Preferred Care | Accel | $879 |
| Independent Medical Systems | COMM | $879 |
| Physicians Cooperative of Texas | WC | $879 |
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