CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida Pasadena Hospital A Part of HCA Florid

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $1,403
Cash Discount Price: $5,700
vs. Medicare Baseline: 13.14x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida Pasadena Hospital A Part of HCA Florid is $1,403. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,700. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.14x the Medicare baseline. Located in 1501 Pasadena Ave S, Saint Petersburg, FL.

Cash / Self-Pay

$5,700

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,403

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: $5,700 (5337%)

Insurance Median: $1,403 (1314%)

Cash: $5,700 (5337% of Medicare)

Ins. Median: $1,403 (1314% 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 1314% of the Medicare baseline (a markup of 1214%). 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 - $2,759	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$248 - $288	232%
Access 2 Healthcare Physicians Freedom Health	$379 - $441	355%
Access 2 Healthcare Physicians Optimum	$379 - $441	355%
Freedom Health Care	$411 - $478	385%
Optimum Healthcare	$411 - $478	385%
Avmed	$422 - $1,533	395%
Simply Healthcare	$811 - $944	759%
Molina	$1,001 - $1,655	937%
Sunshine State Health Plan	$1,344 - $1,563	1258%
Corvel Corporation	$1,388	1300%
Rockport Healthcare Group	$1,388	1300%
Prime Health	$1,417	1327%
Humana	$1,475 - $1,717	1381%
Aetna	$1,581 - $1,839	1480%
Evolutions Healthcare Systems	$2,635 - $5,640	2467%
Plotkin Health	$2,635 - $3,065	2467%
Prime Health Sheriff	$2,635 - $3,065	2467%
Multiplan	$3,952 - $5,211	3700%

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 $5,700.
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 Pasadena Hospital A Part of HCA Florid 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.