CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Florida Osceola Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $1,813
Cash Discount Price: $4,998
vs. Medicare Baseline: 16.97x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Florida Osceola Hospital is $1,813. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,998. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 16.97x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.

Cash / Self-Pay

$4,998

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,813

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: $4,998 (4679%)

Insurance Median: $1,813 (1697%)

Cash: $4,998 (4679% of Medicare)

Ins. Median: $1,813 (1697% 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 1697% of the Medicare baseline (a markup of 1597%). 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 - $2,443	229%
Freedom Health	$332 - $391	311%
Optimum	$332 - $391	311%
Avmed	$369 - $2,714	345%
Corvel Corporation	$563	527%
Prime Health	$574	537%
Careworks (Rockport Community)	$592	554%
Simply	$711 - $836	666%
Molina Healthcare	$877 - $1,466	821%
Sunshine State Health Plan	$1,177 - $1,384	1102%
Humana	$1,293 - $1,520	1211%
Aetna	$1,385 - $1,628	1297%
Plotkin Health	$2,309 - $2,714	2162%
Prime Health Sheriff	$2,309 - $2,714	2162%
Multiplan	$3,463 - $4,614	3242%
Evernorth	$3,694 - $4,343	3458%
Ppo Next	$3,925 - $4,614	3675%
Novanet	$4,156 - $4,885	3891%
Beacon Health Options	$4,617 - $5,428	4323%

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 $4,998.
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 HCA Florida Osceola 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.