CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida Osceola Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $1,836
Cash Discount Price: $5,062
vs. Medicare Baseline: 17.19x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida Osceola Hospital is $1,836. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,062. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.19x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.

Cash / Self-Pay

$5,062

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,836

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: $5,062 (4739%)

Insurance Median: $1,836 (1719%)

Cash: $5,062 (4739% of Medicare)

Ins. Median: $1,836 (1719% 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 1719% of the Medicare baseline (a markup of 1619%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
United	$245 - $2,474	229%
Freedom Health	$337 - $396	316%
Optimum	$337 - $396	316%
Avmed	$374 - $2,749	350%
Simply	$720 - $847	674%
Molina Healthcare	$888 - $1,484	831%
Sunshine State Health Plan	$1,192 - $1,402	1116%
Humana	$1,309 - $1,539	1226%
Corvel Corporation	$1,369	1282%
Prime Health	$1,398	1309%
Aetna	$1,403 - $1,649	1314%
Careworks (Rockport Community)	$1,442	1350%
Plotkin Health	$2,338 - $2,749	2189%
Prime Health Sheriff	$2,338 - $2,749	2189%
Multiplan	$3,507 - $4,673	3283%
Evernorth	$3,741 - $4,398	3502%
Ppo Next	$3,975 - $4,673	3722%
Novanet	$4,208 - $4,948	3940%
Beacon Health Options	$4,676 - $5,497	4378%

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 $5,062.
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 HCA Florida Osceola 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.