CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Florida Twin Cities Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $2,091
Cash Discount Price: $5,502
vs. Medicare Baseline: 19.58x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Florida Twin Cities Hospital is $2,091. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,502. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.58x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.

Cash / Self-Pay

$5,502

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,091

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: $5,502 (5151%)

Insurance Median: $2,091 (1958%)

Cash: $5,502 (5151% of Medicare)

Ins. Median: $2,091 (1958% 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 1958% of the Medicare baseline (a markup of 1858%). 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 - $2,476	229%
Corvel Corporation	$568	532%
Prime Health	$580	543%
Careworks (Rockport Community)	$598	560%
Simply	$847	793%
Molina Healthcare	$1,045 - $1,761	978%
Avmed	$1,320 - $2,751	1236%
Sunshine State Health Plan	$1,403	1314%
Aetna	$1,651	1546%
Humana	$2,091	1958%
Plotkin Health	$2,751	2576%
Prime Health Sheriff	$2,751	2576%
Evolutions Healthcare	$3,576 - $4,677	3348%
Multiplan	$4,292 - $4,677	4018%
Ppo Next	$4,677	4379%
Novanet	$4,952	4636%

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 $5,502.
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 HCA Florida Twin Cities 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.