CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Baptist Medical Center Beaches

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $1,044
  • Cash Discount Price: $1,541
  • vs. Medicare Baseline: 9.77x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Baptist Medical Center Beaches is $1,044. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,541. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.77x the Medicare baseline. Located in 1350 13Th Ave S, Jacksonville Beach, FL.
Cash / Self-Pay
$1,541

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,044

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: $1,541 (1443%)
Insurance Median: $1,044 (977%)
Cash: $1,541 (1443% of Medicare)
Ins. Median: $1,044 (977% 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 977% of the Medicare baseline (a markup of 877%). 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.

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
Corvel $85 - $2,435 80%
Coventry Workers Comp $85 - $2,435 80%
Amerigroup Of Georgia $105 98%
Daniel Memorial $105 98%
Community Hospice Of Northeast Florida $107 100%
Pace $107 100%
Tomorrow'S Rainbow $107 100%
Va Ccn $107 100%
UnitedHealthcare $108 - $1,302 101%
Aetna $109 - $1,988 102%
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 $256 240%
Blue Cross Blue Shield $721 - $13,446 675%
Avmed $795 - $1,267 744%
Borland Groover $994 931%
Occunet $994 931%
Cigna $1,044 - $1,516 977%
Northeast Florida State Hospital $1,044 977%
Centivo $1,093 - $2,112 1023%
Capital Health Plan $1,143 1070%
Geo Group $1,242 1163%
Watchtower $1,367 1280%
Fscj Student Insurance $1,491 1396%
Suddath Company $1,566 1466%
Caresource Of Georgia $1,615 1512%
Medicaid / KanCare $1,615 1512%
Peach State Health Plan $1,615 1512%
Phcs $1,864 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: 1350 13Th Ave S, Jacksonville Beach, FL 32250
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals