CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida Aventura Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $818
Cash Discount Price: $3,147
vs. Medicare Baseline: 7.66x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida Aventura Hospital is $818. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,147. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.66x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$3,147

Average discount available for prompt cash payment at this facility.

Insurance Median

$818

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: $3,147 (2946%)

Insurance Median: $818 (766%)

Cash: $3,147 (2946% of Medicare)

Ins. Median: $818 (766% 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 766% of the Medicare baseline (a markup of 666%). 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 - $1,416	229%
Freedom Health	$271 - $504	254%
Optimum	$271	254%
Avmed	$378 - $1,574	354%
Simply Healthcare Plans	$409	383%
Molina	$535 - $850	501%
Humana	$661 - $1,070	619%
Health Sun Health Plan	$670	627%
Aids Healthcare	$692 - $3,776	648%
Mmm Of Fl (Health Advantage Plan)	$724	678%
United Ppo	$746	698%
Sunshine State Health Plan	$818	766%
Aetna	$944	884%
Corvel Corporation	$1,491	1396%
Careworks (Rockport)	$1,522	1425%
Prime Health	$1,522	1425%
Plotkin Health	$1,574	1474%
Prime Health Sherriff	$1,574	1474%
Medica Healthcare	$1,825	1709%
Multiplan	$2,360 - $2,675	2210%
Evernorth Bh	$2,518	2357%

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 $3,147.
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 Aventura 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.