CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Mease Dunedin Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $645
Cash Discount Price: $682
vs. Medicare Baseline: 6.04x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Mease Dunedin Hospital is $645. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $682. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.04x the Medicare baseline. Located in 601 Main St, Dunedin, FL.

Cash / Self-Pay

$682

Average discount available for prompt cash payment at this facility.

Insurance Median

$645

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: $682 (639%)

Insurance Median: $645 (604%)

Cash: $682 (639% of Medicare)

Ins. Median: $645 (604% 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 604% of the Medicare baseline (a markup of 504%). 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
Clear Health Alliance	$71	66%
UnitedHealthcare	$71 - $1,364	66%
Freedom Health	$73	68%
Humana	$73 - $133	68%
Molina Healthcare	$73	68%
Simply Healthcare	$73 - $273	68%
Sunshine Health	$73	68%
Aetna	$75 - $1,235	70%
Florida Community Care	$77	72%
Baycareplus	$107	100%
Blue Cross Blue Shield	$107 - $1,515	100%
Solis Health	$117	110%
Cigna	$123 - $1,515	115%
Molina	$137 - $895	128%
Wellcare	$149	140%
Freedom	$152 - $303	142%
Optimum	$152 - $303	142%
Careplus	$173 - $346	162%
Ultimate Health Plan	$228 - $454	213%
Avmed	$235 - $1,091	220%
Ambetter / Centene	$240 - $1,515	225%
Evolutions	$380 - $1,409	356%
First Health	$645 - $1,288	604%
Multiplan	$683 - $1,364	639%
United Behavioral Health	$759 - $1,515	711%

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 $682.
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 Mease Dunedin 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.