CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida Twin Cities Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $3,294
Cash Discount Price: $8,669
vs. Medicare Baseline: 30.84x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida Twin Cities Hospital is $3,294. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,669. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 30.84x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.

Cash / Self-Pay

$8,669

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,294

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: $8,669 (8116%)

Insurance Median: $3,294 (3084%)

Cash: $8,669 (8116% of Medicare)

Ins. Median: $3,294 (3084% 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 3084% of the Medicare baseline (a markup of 2984%). 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
United	$245 - $3,901	229%
Simply	$1,335	1250%
Corvel Corporation	$1,382	1294%
Prime Health	$1,411	1321%
Careworks (Rockport Community)	$1,455	1362%
Molina Healthcare	$1,647 - $2,774	1542%
Avmed	$2,081 - $4,334	1948%
Sunshine State Health Plan	$2,211	2070%
Aetna	$2,601	2435%
Humana	$3,294	3084%
Plotkin Health	$4,334	4058%
Prime Health Sheriff	$4,334	4058%
Evolutions Healthcare	$5,635 - $7,369	5276%
Multiplan	$6,762 - $7,369	6331%
Ppo Next	$7,369	6899%
Novanet	$7,802	7305%

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 $8,669.
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 HCA Florida Twin Cities Hospital 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.