CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Florida Memorial Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $1,084
Cash Discount Price: $3,802
vs. Medicare Baseline: 10.15x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Florida Memorial Hospital is $1,084. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,802. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.15x the Medicare baseline. Located in 3625 University Blvd S, Jacksonville, FL.

Cash / Self-Pay

$3,802

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,084

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: $3,802 (3560%)

Insurance Median: $1,084 (1015%)

Cash: $3,802 (3560% of Medicare)

Ins. Median: $1,084 (1015% 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 1015% of the Medicare baseline (a markup of 915%). 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 - $1,711	229%
Optimum Healthcare	$319	299%
Avmed	$456 - $1,065	427%
City Of Jacksonville	$562	526%
Corvel Corporation	$562	526%
Prime Health	$574	537%
Simply Healthcare	$586	549%
Positive Healthcare	$836	783%
Sunshine State Health Plan	$970	908%
Molina Healthcare	$1,027	962%
Centurion	$1,053	986%
Humana	$1,103	1033%
Aetna	$1,141	1068%
Corizon	$1,141	1068%
Plotkin Health	$1,901	1780%
Multiplan	$2,966 - $3,232	2777%
Evernorth	$3,042	2848%
Evolutions Healthcare	$3,042 - $3,232	2848%
Ppo Next	$3,232	3026%
Novanet	$3,422	3204%

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 $3,802.
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 Memorial 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.