CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida Citrus Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $2,281
Cash Discount Price: $9,035
vs. Medicare Baseline: 21.36x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida Citrus Hospital is $2,281. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,035. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.36x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.

Cash / Self-Pay

$9,035

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,281

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: $9,035 (8459%)

Insurance Median: $2,281 (2136%)

Cash: $9,035 (8459% of Medicare)

Ins. Median: $2,281 (2136% 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 2136% of the Medicare baseline (a markup of 2036%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

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

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
United	$245 - $4,066	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$425	398%
Access 2 Healthcare Physicians Freedom Health	$542	507%
Access 2 Healthcare Physicians Optimum	$542	507%
Freedom Health Care	$587	550%
Optimum Healthcare	$587	550%
Avmed	$723 - $2,259	677%
Corvel Corporation	$1,292	1210%
Rockport Healthcare Group	$1,292	1210%
Prime Health	$1,319	1235%
Molina	$1,717 - $2,439	1608%
Sunshine State Health Plan	$2,304	2157%
Humana	$2,530	2369%
Aetna	$2,710	2537%
Beacon Health Options	$4,517	4229%
Plotkin Health	$4,517	4229%
Prime Health Sheriff	$4,517	4229%
Evolutions Healthcare Systems	$5,421 - $8,312	5075%
Multiplan	$6,776 - $7,680	6344%
Evernorth	$7,228	6767%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $9,035.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Citrus Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.