CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Shands Jacksonville

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $424
  • Cash Discount Price: $901
  • vs. Medicare Baseline: 3.97x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Shands Jacksonville is $424. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $901. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.97x the Medicare baseline. Located in 655 W 8Th St, Jacksonville, FL.
Cash / Self-Pay
$901

Average discount available for prompt cash payment at this facility.

Insurance Median
$424

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $901 (844%)
Insurance Median: $424 (397%)
Cash: $901 (844% of Medicare)
Ins. Median: $424 (397% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 397% of the Medicare baseline (a markup of 297%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $77 - $1,350 72%
Carelon Health $77 72%
Humana $77 - $1,393 72%
Florida Community Care $80 75%
Amerihealth Caritas Florida $84 79%
Community Care Plan $84 79%
Molina $84 - $139 79%
Simply Healthcare $84 79%
Ameri-Plus Preferred Care $109 102%
Blue Cross Blue Shield $109 - $831 102%
Capital Health Plan $109 - $819 102%
Beacon Health Strategies $112 105%
Careplus Health Plan $112 105%
Florida Health Care Plan $112 - $192 105%
UnitedHealthcare $114 - $241 107%
Devoted Health Plan $115 - $120 108%
Positive Healthcare Partners $117 - $120 110%
Wellcare of Florida $128 120%
Florida Complete Care $136 127%
Wellpath $176 165%
Ambetter / Centene $177 166%
Volusia Health Network $688 644%
Northeast Florida State Hospital $721 675%
North Florida Evaluation & Treatment Center $770 721%
Centivo $901 844%
Avmed $920 861%
Disney Cruise Line $983 920%
Cigna $1,015 950%
Health First Health Plan $1,065 - $1,147 997%
Mental Health Associates $1,065 997%
Prime Health Services $1,147 - $1,229 1074%
Florida Health Alliance $1,180 1105%
Archbold Medical Center $1,229 1151%
Genex $1,229 1151%
Rockport Provider $1,229 1151%
Corvel Corp $1,393 1304%
First Health $1,393 1304%
Florida Hospital Healthcare System $1,393 1304%
Medsave USA Tpa $1,393 1304%
Fringe Benefits Coordinators $1,475 - $1,557 1381%
Multiplan $1,475 1381%
Novanet $1,475 1381%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 655 W 8Th St, Jacksonville, FL 32209
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals