Ultrasound, abdomen at St. Luke's Health - Springwoods Village Hospital. CPT 76700.
What St. Luke's Health - Springwoods Village Hospital publishes for this service, straight from its standard-charges file, last updated February 28, 2026.
Outpatient / ER
$1,812cash price (self-pay)
$5,178list price
$76.69–$5,178range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Renaissance | Commercial|All Plans | $76.69 |
| Montgomery Hospital District | Commercial|All Plans | $105 |
| UHC | Medicaid|CHIP | $109 |
| BCBS | Medicaid|All Plans | $110 |
| CHC | Medicaid|All Other Plans | $123 |
| KelseyCare | Commercial|Exchange | $144 |
| BCBS-TX | Commercial|Exchange | $158 |
| Cigna | Commercial|All Other Plans | $160 |
| Community Health Choice | Commercial|Exchange | $160 |
| Superior Health Plan | Commercial|All Plans | $160 |
| BCBS-TX | Commercial|MyBlue Health Exchange | $164 |
| Bright Health | Commercial|All Plans | $182 |
| Cigna | Commercial|Surefit | $252 |
| Cigna | Commercial|HMO | $277 |
| BCBS-TX | Commercial|Blue Premier | $287 |
| BCBS-TX | Commercial|HMO | $336 |
| Cigna | Commercial|PPO | $340 |
| NXHealth | Commercial|All Plans | $346 |
| United | Commercial|Exchange | $362 |
| BCBS-TX | Commercial|PPO | $378 |
| TCHP | Medicaid|STARKIDS | $518 |
| United | Commercial|HMO | $592 |
| United | Commercial|PPO | $592 |
| TCHPCHIP | Medicaid|HMO | $1,812 |
| OPTUM | Medicaid|STAR | $1,873 |
| United | Commercial|Optum | $2,434 |
| CHC | Medicaid|CHIP | $2,848 |
| CHC | Medicaid|HMO | $2,848 |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,848 |
| Aetna-Kelsey Care | Commercial|HMO | $3,055 |
Inpatient
$1,812cash price (self-pay)
$5,178list price
$2,227–$5,178range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| TCHPCHIP | Medicaid|HMO | $2,227 |
| CHC | Medicaid|CHIP | $2,848 |
| CHC | Medicaid|HMO | $2,848 |
| TEXASTRUECHOICE | Medicaid|CHIP | $2,848 |
| Coventry | Commercial|PPO | $3,366 |
| First Health | Commercial|All Plans | $3,366 |
| Cigna | Commercial|Transplant | $3,625 |
| Healthsmart | Commercial|PPO | $3,625 |
| Interlink | Commercial|Transplant | $3,625 |
| MultiPlan | Commercial|All Plans | $3,884 |
| USA Health Network | Commercial|All Plans | $4,401 |
| MHealth Network | Commercial|PPO | $5,178 |
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All common services at St. Luke's Health - Springwoods Village Hospital