CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida Trinity Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $2,154
Cash Discount Price: $8,618
vs. Medicare Baseline: 20.17x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida Trinity Hospital is $2,154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,618. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 20.17x the Medicare baseline. Located in 9330 Sr 54, Trinity, FL.

Cash / Self-Pay

$8,618

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,154

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: $8,618 (8069%)

Insurance Median: $2,154 (2017%)

Cash: $8,618 (8069% of Medicare)

Ins. Median: $2,154 (2017% 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 2017% of the Medicare baseline (a markup of 1917%). 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 - $3,878	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$405	379%
Access 2 Healthcare Physicians Freedom Health	$620	580%
Access 2 Healthcare Physicians Optimum	$620	580%
Freedom Health Care	$672	629%
Optimum Healthcare	$672	629%
Avmed	$689 - $2,154	645%
Simply Healthcare	$1,327	1242%
Corvel Corporation	$1,388	1300%
Rockport Healthcare Group	$1,388	1300%
Prime Health	$1,417	1327%
Molina	$1,637 - $2,327	1533%
Sunshine State Health Plan	$2,197	2057%
Humana	$2,413	2259%
Aetna	$2,585	2420%
Beacon Health Options	$4,309	4034%
Plotkin Health	$4,309	4034%
Prime Health Sheriff	$4,309	4034%
Evolutions Healthcare Systems	$5,171 - $7,928	4841%
Multiplan	$6,463 - $7,325	6051%
Evernorth	$6,894	6454%

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 $8,618.
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 Trinity 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.