CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Cleveland Clinic Indian River Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $106
Cash Discount Price: $389
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Cleveland Clinic Indian River Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $389. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.99x the Medicare baseline. Located in 1000 36Th St, Vero Beach, FL.

Cash / Self-Pay

$389

Average discount available for prompt cash payment at this facility.

Insurance Median

$106

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: $389 (364%)

Insurance Median: $106 (99%)

Cash: $389 (364% of Medicare)

Ins. Median: $106 (99% 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
Aetna	$30 - $679	28%
Blue Cross Blue Shield	$36 - $764	34%
Avmed	$38 - $244	36%
Careplus	$38 - $107	36%
Magellan	$38 - $509	36%
United	$38 - $107	36%
Value Options	$38	36%
Wellcare	$38 - $107	36%
Freedom Health	$40 - $107	37%
Independent Living Systems	$40 - $127	37%
Wellmed	$40 - $107	37%
Clear Spring Health	$41 - $162	38%
Cigna	$45 - $255	42%
UnitedHealthcare	$101	95%
Amerihealth	$106	99%
Carelon Bh Strategies	$106 - $107	99%
Medicaid / KanCare	$106	99%
Molina	$106	99%
Sunshine Health	$106	99%
Humana	$107	100%
Devoted Health	$117	110%
Clarity Health	$227 - $552	213%
The Legacy Companies	$227 - $552	213%
National Provider Network	$244	228%
Three Rivers	$244	228%
Consociate Health	$262	245%
Bmi	$467	437%
Multiplan	$679	636%

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 $389.
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 Cleveland Clinic Indian River 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.