CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Lower Keys Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $213
  • Cash Discount Price: $487
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Lower Keys Medical Center is $213. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $487. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.99x the Medicare baseline. Located in 5900 College Road, Key West, FL.
Cash / Self-Pay
$487

Average discount available for prompt cash payment at this facility.

Insurance Median
$213

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: $487 (456%)
Insurance Median: $213 (199%)
Cash: $487 (456% of Medicare)
Ins. Median: $213 (199% 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.

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
UnitedHealthcare $62 - $1,207 58%
Veterans Eval Services $101 95%
Tricare $111 104%
Blue Cross Blue Shield $115 - $1,570 108%
Humana $115 - $165 108%
Medicare (plans) $115 108%
Ultimate Health $115 108%
Node Champva $117 110%
Node Non Par Hospice Agree $117 110%
Node United Behavioral Va Ccn $117 110%
Node Va $117 110%
Correct Care Solutions $129 121%
Prime Health Work Comp Fl $133 125%
Fl Work Comp $137 128%
Heritage Summit Work Comp Fl $137 128%
Node Us Dept Of Labor $146 137%
Florida Childrens Medical Services $161 151%
Medicaid / KanCare $161 - $177 151%
South Florida Community Care Network $161 151%
Amerigroup $177 166%
Positive Healthcare $177 166%
Simply Healthcare $177 - $487 166%
Wellcare $177 166%
Wellcare Healthease $177 166%
Molina $181 169%
Prestige Health Choice $186 174%
Magellan $193 181%
State Auto Insurance Fl $234 219%
Self Pay $424 - $549 397%
Cigna $926 867%
Aetna $1,096 1026%
Monroe County $1,177 1102%
Evolutions Healthcare Systems $1,256 - $1,491 1176%
Keys Energy $1,256 1176%
Prime Health Ppo $1,256 1176%
Avmed Health Plan $1,334 1249%
Direct Healthcare $1,570 1470%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 College Road, Key West, FL 33040
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals