CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Florida Citrus Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $1,097
Cash Discount Price: $4,786
vs. Medicare Baseline: 10.27x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Florida Citrus Hospital is $1,097. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,786. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.27x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.

Cash / Self-Pay

$4,786

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,097

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: $4,786 (4481%)

Insurance Median: $1,097 (1027%)

Cash: $4,786 (4481% of Medicare)

Ins. Median: $1,097 (1027% 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 1027% of the Medicare baseline (a markup of 927%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$159 - $291	149%
Access 2 Healthcare Physicians Freedom Health	$202 - $372	189%
Access 2 Healthcare Physicians Optimum	$202 - $372	189%
Freedom Health Care	$219 - $403	205%
Optimum Healthcare	$219 - $403	205%
United	$245 - $2,789	229%
Avmed	$270 - $1,549	253%
Corvel Corporation	$531	497%
Rockport Healthcare Group	$531	497%
Prime Health	$542	507%
Molina	$641 - $1,673	600%
Sunshine State Health Plan	$860 - $1,580	805%
Humana	$945 - $1,735	885%
Aetna	$1,012 - $1,859	947%
Beacon Health Options	$1,687 - $3,099	1579%
Plotkin Health	$1,687 - $3,099	1579%
Prime Health Sheriff	$1,687 - $3,099	1579%
Evolutions Healthcare Systems	$2,024 - $5,701	1895%
Multiplan	$2,531 - $5,268	2370%
Evernorth	$2,699 - $4,958	2527%

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 $4,786.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

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 76705.
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.