CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $727
  • Cash Discount Price: $1,236
  • vs. Medicare Baseline: 6.81x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Baptist Health Medical Center - Jacksonville is $727. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,236. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.81x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$1,236

Average discount available for prompt cash payment at this facility.

Insurance Median
$727

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: $1,236 (1157%)
Insurance Median: $727 (681%)
Cash: $1,236 (1157% of Medicare)
Ins. Median: $727 (681% 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 681% of the Medicare baseline (a markup of 581%). 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 $52 - $1,781 49%
Coventry Workers Comp $52 - $1,781 49%
Non-Contracted $53 - $273 50%
Amerigroup Of Georgia $70 66%
Caresource Of Georgia $70 - $1,181 66%
Daniel Memorial $70 66%
Humana $70 - $77 66%
Peach State Health Plan $70 - $1,181 66%
Simply Healthcare Plans $73 - $84 68%
Simply Healthcare Plans - Cha $73 68%
Amerihealth Caritas $77 72%
Florida Community Care $77 - $112 72%
Sunshine State Health Plan $77 72%
United Community Plan $77 72%
Vivida Health $77 72%
Molina Healthcare Of Florida $83 78%
Aetna $84 - $1,454 79%
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 - $952 100%
Devoted $113 106%
Upmc $117 110%
Ambetter / Centene $255 - $256 239%
Blue Cross Blue Shield $527 - $14,993 493%
Avmed $581 - $945 544%
Cigna $709 - $1,108 664%
Borland Groover $727 681%
Occunet $727 - $908 681%
Northeast Florida State Hospital $763 - $854 714%
Centivo $799 - $1,544 748%
Capital Health Plan $836 783%
Innovative Healthware Services $854 800%
Geo Group $908 850%
Nemours Research $983 920%
Volusia Health Network $999 935%
Watchtower $999 935%
Fscj Student Insurance $1,090 1021%
Suddath Company $1,145 1072%
Medicaid / KanCare $1,181 1106%
Uf Health Proton Therapy Institute $1,272 1191%
Phcs $1,363 - $1,454 1276%
Evolutions Healthcare $1,635 1531%
Multiplan $1,635 1531%

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