CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: North Shore Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $110
  • Cash Discount Price: $3,093
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at North Shore Medical Center is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,093. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.03x the Medicare baseline. Located in 1100 Nw 95Th St, Miami, FL.
Cash / Self-Pay
$3,093

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $3,093 (2896%)
Insurance Median: $110 (103%)
Cash: $3,093 (2896% of Medicare)
Ins. Median: $110 (103% 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 $40 - $2,227 37%
Humana $59 - $206 55%
Medicaid / KanCare $70 - $3,093 66%
UnitedHealthcare $71 - $103 66%
Veterans Administration Mill Bill $72 67%
Avmed Broad Network $75 70%
Healthsun Health Plans $91 - $108 85%
Dimension Health Wc $93 87%
Medicare (plans) $93 - $3,093 87%
Workers Compensation $93 87%
Imagine Health $99 93%
Devoted Health $103 96%
Leon Health Inc $103 96%
Tricare $104 97%
Employer Direct Healthcare $105 - $110 98%
Hospice Other $105 98%
Veterans Administration Vaccn $105 98%
Cigna $108 - $1,547 101%
Self Pay/Uninsured $108 - $129 101%
Longevity Health Plan $110 103%
Florida Pace Centers $124 116%
Bright Health Management Commercial $126 118%
Oscar Health Plan Hix $127 119%
Centurion Prison $129 121%
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 $1,604 1502%
Magellan Behavioral Health $1,856 1738%
Dimensions International $2,011 1883%
First Health $2,104 1970%
Dimension Health Ppo $2,320 2172%
Beacon Health Strategies Commercial $3,093 2896%
Commercial Non-Contracted $3,093 2896%
Self Pay - Mcd Pending 100 Percent $3,093 2896%
Single Case Agreement $3,093 2896%
United Behavioral Health Psych $3,093 2896%

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