CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Sarasota Memorial Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $116
Cash Discount Price: $735
vs. Medicare Baseline: 1.09x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Sarasota Memorial Hospital is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $735. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.09x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

$735

Average discount available for prompt cash payment at this facility.

Insurance Median

$116

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: $735 (688%)

Insurance Median: $116 (109%)

Cash: $735 (688% of Medicare)

Ins. Median: $116 (109% 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
Simply Healthcare Oncology	$28 - $57	26%
Sunshine State Oncology	$28 - $57	26%
Amerihealth Caritas Oncology	$29 - $59	27%
Community Care Plan Oncology	$29 - $59	27%
Molina Oncology	$29 - $58	27%
Florida Community Care Oncology	$35 - $92	33%
Blue Cross Blue Shield	$36 - $122	34%
UnitedHealthcare	$39 - $2,137	37%
Wellcare Oncology	$40 - $79	37%
Simply Freedom Optimum Oncology	$41 - $82	38%
Aetna	$44 - $2,277	41%
Oscar Oncology	$64 - $125	60%
Ambetter / Centene	$100 - $288	94%
Simply Healthcare	$105 - $111	98%
Sunshine State	$111	104%
Simply Freedom Optimum	$112	105%
Wellcare	$112	105%
Molina	$114	107%
Amerihealth Caritas	$116	109%
Community Care Plan	$116	109%
Florida Community Care	$116 - $117	109%
Avmed	$843 - $2,078	789%
Usa Managed Care	$924 - $2,277	865%
First Health	$959 - $2,362	898%
Careworks	$1,058 - $1,514	991%
Enlyte	$1,058 - $1,514	991%

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 $735.
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 Sarasota Memorial 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.