UHC Ultrasound Rates in Austin

Published UnitedHealthcare negotiated rates for Ultrasound at 7 hospitals in Austin, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$111.48

BSW Medical Center Marble Falls

all plan types

Highest Rate

$458.64

BSW Medical Center Taylor

all plan types

Rate Spread

4x

across all plan types

Hospitals

7

with UnitedHealthcare data

UnitedHealthcare ultrasound rates in Austin vary dramatically, with a 4x spread from $111.48 to $458.64 across 7 hospitals. The lowest rate at BSW Medical Center Marble Falls reflects Medicare Advantage pricing, while commercial rates cluster around the $451 median.

Why the range is so wide: UnitedHealthcare negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

UnitedHealthcare Ultrasound Rates by Hospital

Hospital Lowest UnitedHealthcare Rate
BSW Medical Center Marble Falls $111.48
BSW Medical Center Austin $113.09
BSW Medical Center Buda $113.09
BSW Medical Center Lakeway $113.09
BSW Medical Center Pflugerville $113.09
BSW Medical Center Round Rock $113.09
BSW Medical Center Taylor $444.08

Rates shown are UnitedHealthcare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all UnitedHealthcare plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.

Understanding UnitedHealthcare Negotiated Rates

A negotiated rate is the price UnitedHealthcare has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.

The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all UnitedHealthcare plan types at each facility.

Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.

Compare Other Insurers for Ultrasound in Austin

View all Ultrasound prices in Austin (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost UnitedHealthcare Ultrasound in Austin?

The lowest UnitedHealthcare negotiated rate for Ultrasound in Austin is $111.48 at BSW Medical Center Marble Falls, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $458.64 at BSW Medical Center Taylor, a 4x difference. Commercial plan rates typically fall between these extremes.

Is the UnitedHealthcare negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what UnitedHealthcare has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact UnitedHealthcare for a pre-service cost estimate specific to your plan.

How many Austin hospitals have published UnitedHealthcare rates?

7 hospitals in the Austin area have published UnitedHealthcare negotiated rates for Ultrasound in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with UnitedHealthcare directly.

Are prenatal ultrasounds covered differently by UnitedHealthcare?

UnitedHealthcare plans often apply different cost-sharing rules for prenatal ultrasounds compared to diagnostic ultrasounds. Some may be covered under maternity benefits with different deductible and copay structures. Check your UnitedHealthcare plan documents for specifics on ultrasound coverage.

We are not affiliated with UnitedHealthcare or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact UnitedHealthcare or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.

Visit the official UnitedHealthcare website: www.uhc.com