CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Sarasota Memorial Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $86
Cash Discount Price: $613
vs. Medicare Baseline: 0.81x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Sarasota Memorial Hospital is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $613. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.81x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

$613

Average discount available for prompt cash payment at this facility.

Insurance Median

$86

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: $613 (574%)

Insurance Median: $86 (81%)

Cash: $613 (574% of Medicare)

Ins. Median: $86 (81% 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	$20 - $43	19%
Sunshine State Oncology	$20 - $43	19%
Amerihealth Caritas Oncology	$21 - $45	20%
Community Care Plan Oncology	$21 - $45	20%
Molina Oncology	$21 - $44	20%
Florida Community Care Oncology	$25 - $70	23%
Blue Cross Blue Shield	$26 - $107	24%
UnitedHealthcare	$29 - $1,151	27%
Wellcare Oncology	$29 - $60	27%
Aetna	$31 - $1,226	29%
Simply Freedom Optimum Oncology	$31 - $62	29%
Oscar Oncology	$47 - $96	44%
Simply Healthcare	$70 - $73	66%
Ambetter / Centene	$73 - $288	68%
Sunshine State	$73	68%
Molina	$75	70%
Amerihealth Caritas	$77	72%
Community Care Plan	$77	72%
Florida Community Care	$77 - $117	72%
Simply Freedom Optimum	$112	105%
Wellcare	$112	105%
Careworks	$622 - $1,031	582%
Enlyte	$622 - $1,031	582%
Avmed	$840 - $1,119	786%
Usa Managed Care	$920 - $1,226	861%
First Health	$954 - $1,272	893%

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 $613.
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 Sarasota Memorial 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.