CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Florida Jfk Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $590
Cash Discount Price: $2,509
vs. Medicare Baseline: 5.52x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Florida Jfk Hospital is $590. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,509. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.52x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.

Cash / Self-Pay

$2,509

Average discount available for prompt cash payment at this facility.

Insurance Median

$590

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: $2,509 (2349%)

Insurance Median: $590 (552%)

Cash: $2,509 (2349% of Medicare)

Ins. Median: $590 (552% 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 552% of the Medicare baseline (a markup of 452%). 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
Freedom Health	$212 - $408	198%
Optimum	$212 - $219	198%
United	$245 - $1,148	229%
Avmed	$320 - $1,276	300%
Simply Healthcare Plans	$320 - $332	300%
Molina	$419 - $689	392%
Humana	$518 - $868	485%
Health Sun Health Plan	$525 - $544	492%
Aids Healthcare	$542 - $3,062	507%
Healthy Palm Beaches	$550	515%
Mmm Of Fl (Health Advantage Plan)	$567 - $587	531%
United Ppo	$584 - $605	547%
Corvel Corporation	$590	552%
Careworks (Rockport)	$602	564%
Prime Health	$602	564%
Sunshine State Health Plan	$641 - $664	600%
Aetna	$740 - $766	693%
Blis	$863 - $893	808%
District Cares	$1,232 - $1,276	1153%
Plotkin Health	$1,232 - $1,276	1153%
Prime Health Sherriff	$1,232 - $1,276	1153%
Medica Healthcare	$1,454 - $1,506	1361%
Multiplan	$1,849 - $2,169	1731%
Evernorth Bh	$1,972 - $2,042	1846%

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 $2,509.
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 Jfk 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.