CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Larkin Community Hospital Palm Springs Campus

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $150
Cash Discount Price: $753
vs. Medicare Baseline: 1.40x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Larkin Community Hospital Palm Springs Campus is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $753. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.40x the Medicare baseline. Located in 1475 W 49Th St, Hialeah, FL.

Cash / Self-Pay

$753

Average discount available for prompt cash payment at this facility.

Insurance Median

$150

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: $753 (705%)

Insurance Median: $150 (140%)

Cash: $753 (705% of Medicare)

Ins. Median: $150 (140% 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.

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
Medicare (plans)	$40 - $1,977	37%
Bright Health Commercial - All Other Plans	$42 - $131	39%
Clear Springs Health - All Plans	$42 - $115	39%
Aetna	$105 - $109	98%
Florida Community Care Mcaid-All Plans	$105	98%
Miami Childrens Hp Mcaid-All Plans	$105	98%
Sunshine Mcaid	$105	98%
Wellcare Mcaid	$105	98%
Simply Healthcare Mcaid	$108	101%
United Mcaid	$108	101%
Ambetter / Centene	$109	102%
Blue Cross Blue Shield	$109 - $804	102%
Opus Hospice Ip Only - All Plans	$109	102%
Unicare Simply Mcare Ppo - All Plans	$115	108%
Ccs - All Plans	$147	138%
Fdc - All Plans	$153	143%
Humana	$161 - $1,977	151%
Cigna	$400	374%
Wellcare Comm (Choice) - All Other Plans	$600	562%
Leon Med Center Mcr Adv - All Plans	$1,779	1666%
Careplus Health - All Other Plans	$1,977	1851%
Centurion Doc - All Plans	$1,977	1851%
Doctors Healthcare - All Plans	$1,977	1851%
Florida Health Solution/Hmo - All Plans	$1,977	1851%
Preferred Care Partners Mcr - All Plans	$1,977	1851%
Simply Healthcare Mcr - All Other Plans	$1,977	1851%
UnitedHealthcare	$1,977	1851%
Naphcare - All Plans	$2,274	2129%
Oscar Health-All Plans	$3,954	3702%

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 $753.
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 Larkin Community Hospital Palm Springs Campus 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.