CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Baptist Medical Center - Nassau

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $672
  • Cash Discount Price: $1,127
  • vs. Medicare Baseline: 6.29x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Baptist Medical Center - Nassau is $672. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,127. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.29x the Medicare baseline. Located in 1250 S 18Th St, Fernandina Beach, FL.
Cash / Self-Pay
$1,127

Average discount available for prompt cash payment at this facility.

Insurance Median
$672

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: $1,127 (1055%)
Insurance Median: $672 (629%)
Cash: $1,127 (1055% of Medicare)
Ins. Median: $672 (629% 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 629% of the Medicare baseline (a markup of 529%). 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 $65 - $1,781 61%
Coventry Workers Comp $65 - $1,781 61%
Amerigroup Of Georgia $70 66%
Daniel Memorial $70 66%
Humana $70 66%
Nassaua County Sheriff'S Office $70 66%
Simply Healthcare Plans $73 - $84 68%
Simply Healthcare Plans - Cha $73 68%
Amerihealth Caritas $77 72%
Florida Community Care $77 - $112 72%
Sunshine State Health Plan $77 72%
United Community Plan $77 72%
Vivida Health $77 72%
Molina Healthcare Of Florida $83 78%
Aetna $84 - $1,454 79%
Community Hospice Of Northeast Florida $107 100%
Pace $107 100%
Tomorrow'S Rainbow $107 100%
Va Ccn $107 100%
UnitedHealthcare $108 - $892 101%
Devoted $113 106%
Upmc $117 110%
Ambetter / Centene $256 240%
Blue Cross Blue Shield $527 - $1,181 493%
Avmed $581 - $1,363 544%
Borland Groover $727 681%
Occunet $727 681%
Northeast Florida State Hospital $763 714%
Centivo $799 - $1,544 748%
Capital Health Plan $836 783%
Geo Group $908 850%
Watchtower $999 935%
Fscj Student Insurance $1,090 1021%
Savannah Grand Of Amelia Island $1,090 1021%
Cigna $1,127 - $1,388 1055%
Suddath Company $1,145 1072%
Medicaid / KanCare $1,181 1106%
Peach State Health Plan $1,181 1106%
Phcs $1,363 1276%
Evolutions Healthcare $1,635 1531%
Multiplan $1,635 1531%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1250 S 18Th St, Fernandina Beach, FL 32034
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals