CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida St Petersburg Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $1,481
Cash Discount Price: $6,270
vs. Medicare Baseline: 13.87x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida St Petersburg Hospital is $1,481. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,270. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.87x the Medicare baseline. Located in 6500 38Th Ave N, Saint Petersburg, FL.

Cash / Self-Pay

$6,270

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,481

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: $6,270 (5870%)

Insurance Median: $1,481 (1387%)

Cash: $6,270 (5870% of Medicare)

Ins. Median: $1,481 (1387% 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 1387% of the Medicare baseline (a markup of 1287%). 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 - $3,035	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$272 - $317	255%
Access 2 Healthcare Physicians Freedom Health	$417 - $486	390%
Access 2 Healthcare Physicians Optimum	$417 - $486	390%
Freedom Health Care	$452 - $526	423%
Optimum Healthcare	$452 - $526	423%
Avmed	$464 - $1,686	434%
Simply Healthcare	$893 - $1,039	836%
Molina	$1,101 - $1,821	1031%
Corvel Corporation	$1,388	1300%
Rockport Healthcare Group	$1,388	1300%
Prime Health	$1,417	1327%
Sunshine State Health Plan	$1,478 - $1,720	1384%
Humana	$1,623 - $1,888	1520%
Aetna	$1,739 - $2,023	1628%
Evolutions Healthcare Systems	$2,898 - $6,205	2713%
Plotkin Health	$2,898 - $3,372	2713%
Prime Health Sheriff	$2,898 - $3,372	2713%
Multiplan	$4,347 - $5,732	4070%

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 $6,270.
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 St Petersburg 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.