CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $994
  • Cash Discount Price: $1,690
  • vs. Medicare Baseline: 9.31x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Baptist Health Medical Center - Jacksonville is $994. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,690. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.31x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$1,690

Average discount available for prompt cash payment at this facility.

Insurance Median
$994

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: $1,690 (1582%)
Insurance Median: $994 (931%)
Cash: $1,690 (1582% of Medicare)
Ins. Median: $994 (931% 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 931% of the Medicare baseline (a markup of 831%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Corvel $72 - $2,435 67%
Coventry Workers Comp $72 - $2,435 67%
Non-Contracted $73 - $373 68%
Amerigroup Of Georgia $105 98%
Caresource Of Georgia $105 - $1,615 98%
Daniel Memorial $105 98%
Humana $105 - $116 98%
Peach State Health Plan $105 - $1,615 98%
Community Hospice Of Northeast Florida $106 - $107 99%
Pace $106 - $107 99%
Tomorrow'S Rainbow $106 - $107 99%
Va Ccn $106 - $107 99%
UnitedHealthcare $107 - $1,302 100%
Aetna $108 - $1,988 101%
Simply Healthcare Plans $111 - $126 104%
Simply Healthcare Plans - Cha $111 104%
Florida Community Care $112 - $116 105%
Devoted $113 106%
Amerihealth Caritas $116 109%
Sunshine State Health Plan $116 109%
United Community Plan $116 109%
Vivida Health $116 109%
Upmc $117 110%
Molina Healthcare Of Florida $125 117%
Ambetter / Centene $255 - $256 239%
Blue Cross Blue Shield $721 - $14,993 675%
Avmed $795 - $1,292 744%
Cigna $969 - $1,516 907%
Nemours Research $983 920%
Borland Groover $994 931%
Occunet $994 - $1,242 931%
Northeast Florida State Hospital $1,044 - $1,168 977%
Centivo $1,093 - $2,112 1023%
Capital Health Plan $1,143 1070%
Innovative Healthware Services $1,168 1094%
Geo Group $1,242 1163%
Volusia Health Network $1,367 1280%
Watchtower $1,367 1280%
Fscj Student Insurance $1,491 1396%
Suddath Company $1,566 1466%
Medicaid / KanCare $1,615 1512%
Uf Health Proton Therapy Institute $1,740 1629%
Phcs $1,864 - $1,988 1745%
Evolutions Healthcare $2,236 2093%
Multiplan $2,236 2093%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals