CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida Northwest Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $3,870
Cash Discount Price: $14,885
vs. Medicare Baseline: 36.23x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida Northwest Hospital is $3,870. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,885. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 36.23x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.

Cash / Self-Pay

$14,885

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,870

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: $14,885 (13936%)

Insurance Median: $3,870 (3623%)

Cash: $14,885 (13936% of Medicare)

Ins. Median: $3,870 (3623% 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 3623% of the Medicare baseline (a markup of 3523%). 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 - $6,698	229%
Freedom Health	$1,280 - $2,382	1198%
Optimum	$1,280	1198%
Corvel Corporation	$1,503	1407%
Careworks (Rockport)	$1,535	1437%
Prime Health	$1,535	1437%
Avmed	$1,935 - $7,442	1812%
Simply Healthcare Plans	$1,935	1812%
Molina	$2,828 - $4,019	2648%
Humana	$3,126 - $5,061	2927%
Health Sun Health Plan	$3,171	2969%
Mmm Of Fl (Health Advantage Plan)	$3,424	3206%
United Ppo	$3,528	3303%
Sunshine State Health Plan	$3,930	3679%
Aetna	$4,466	4181%
Blis	$5,210	4878%
Plotkin Health	$7,442	6968%
Prime Health Sherriff	$7,442	6968%
Medica Healthcare	$8,633	8083%
Multiplan	$11,164 - $12,652	10452%

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 $14,885.
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 Northwest 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.