CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: North Shore Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $126
  • Cash Discount Price: $6,605
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at North Shore Medical Center is $126. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,605. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.18x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$6,605

Average discount available for prompt cash payment at this facility.

Insurance Median
$126

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: $6,605 (6184%)
Insurance Median: $126 (118%)
Cash: $6,605 (6184% of Medicare)
Ins. Median: $126 (118% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $54 - $4,756 51%
Humana $59 - $206 55%
Veterans Administration Mill Bill $72 67%
Medicare (plans) $93 - $6,605 87%
UnitedHealthcare $98 - $108 92%
Avmed Broad Network $99 93%
Devoted Health $103 96%
Leon Health Inc $103 96%
Tricare $104 97%
Employer Direct Healthcare $105 - $146 98%
Hospice Other $105 98%
Veterans Administration Vaccn $105 98%
Medicaid / KanCare $106 - $6,605 99%
Cigna $108 - $3,303 101%
Healthsun Health Plans $108 - $121 101%
Longevity Health Plan $110 103%
Dimension Health Wc $117 110%
Workers Compensation $117 110%
Florida Pace Centers $124 116%
Bright Health Management Commercial $126 118%
Centurion Prison $129 121%
Self Pay/Uninsured $129 - $144 121%
Imagine Health $132 124%
Oscar Health Plan Hix $166 155%
Avmed Exchange $183 171%
Bc/Bs Of Fl Health Options Hmo $190 178%
Bc/Bs Of Fl Network Blue $190 178%
Bc/Bs Myblue Hmo Hix $192 180%
Ambetter / Centene $194 182%
Molina Marketplace Program Exchange $199 186%
Bc/Bs Of Fl Simplyblue $202 189%
Bc/Bs Of Fl Ppo $203 190%
Auto Insurance $209 196%
Bc/Bs Of Fl Blue Select Exchange Non Par $211 198%
Avmed Select Network $214 200%
Amerihealth Caritas Next Exchange $225 211%
Bc/Bs Of Fl Phs $3,424 3206%
Magellan Behavioral Health $3,963 3710%
Dimensions International $4,294 4020%
First Health $4,492 4206%
Dimension Health Ppo $4,954 4638%
Beacon Health Strategies Commercial $6,605 6184%
Commercial Non-Contracted $6,605 6184%
Self Pay - Mcd Pending 100 Percent $6,605 6184%
Single Case Agreement $6,605 6184%
United Behavioral Health Psych $6,605 6184%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Nw 95Th St, Miami, FL 33150
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals