CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida Jfk Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $1,608
Cash Discount Price: $7,310
vs. Medicare Baseline: 15.05x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida Jfk Hospital is $1,608. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,310. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.05x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.

Cash / Self-Pay

$7,310

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,608

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: $7,310 (6844%)

Insurance Median: $1,608 (1505%)

Cash: $7,310 (6844% of Medicare)

Ins. Median: $1,608 (1505% 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 1505% of the Medicare baseline (a markup of 1405%). 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 - $3,290	229%
Healthy Palm Beaches	$550	515%
Freedom Health	$629 - $1,170	589%
Optimum	$629	589%
Avmed	$950 - $3,655	889%
Simply Healthcare Plans	$950	889%
Molina	$1,243 - $1,974	1164%
Corvel Corporation	$1,436	1344%
Careworks (Rockport)	$1,466	1373%
Prime Health	$1,466	1373%
Humana	$1,535 - $2,485	1437%
Health Sun Health Plan	$1,557	1458%
Aids Healthcare	$1,608 - $8,772	1505%
Mmm Of Fl (Health Advantage Plan)	$1,681	1574%
United Ppo	$1,732	1622%
Sunshine State Health Plan	$1,901	1780%
Aetna	$2,193	2053%
Blis	$2,558	2395%
District Cares	$3,655	3422%
Plotkin Health	$3,655	3422%
Prime Health Sherriff	$3,655	3422%
Medica Healthcare	$4,313	4038%
Multiplan	$5,482 - $6,214	5132%
Evernorth Bh	$5,848	5475%

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 $7,310.
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 Jfk 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.