CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Florida Aventura Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $785
Cash Discount Price: $3,018
vs. Medicare Baseline: 7.35x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Florida Aventura Hospital is $785. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,018. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.35x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$3,018

Average discount available for prompt cash payment at this facility.

Insurance Median

$785

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: $3,018 (2826%)

Insurance Median: $785 (735%)

Cash: $3,018 (2826% of Medicare)

Ins. Median: $785 (735% 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 735% of the Medicare baseline (a markup of 635%). 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 - $1,358	229%
Freedom Health	$260 - $483	243%
Optimum	$260	243%
Avmed	$362 - $1,509	339%
Simply Healthcare Plans	$392	367%
Molina	$513 - $815	480%
Corvel Corporation	$612	573%
Careworks (Rockport)	$625	585%
Prime Health	$625	585%
Humana	$634 - $1,026	594%
Health Sun Health Plan	$643	602%
Aids Healthcare	$664 - $3,622	622%
Mmm Of Fl (Health Advantage Plan)	$694	650%
United Ppo	$715	669%
Sunshine State Health Plan	$785	735%
Aetna	$905	847%
Plotkin Health	$1,509	1413%
Prime Health Sherriff	$1,509	1413%
Medica Healthcare	$1,750	1638%
Multiplan	$2,264 - $2,565	2120%
Evernorth Bh	$2,414	2260%

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 $3,018.
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 Aventura 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.