CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida North Florida Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $1,687
Cash Discount Price: $5,271
vs. Medicare Baseline: 15.79x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida North Florida Hospital is $1,687. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,271. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.79x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.

Cash / Self-Pay

$5,271

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,687

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: $5,271 (4935%)

Insurance Median: $1,687 (1579%)

Cash: $5,271 (4935% of Medicare)

Ins. Median: $1,687 (1579% 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 1579% of the Medicare baseline (a markup of 1479%). 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 - $2,372	229%
Avmed	$633 - $2,636	593%
Simply	$812	760%
Molina Healthcare	$1,002 - $1,687	938%
Humana	$1,054	987%
Sunshine State Health Plan	$1,344	1258%
Corvel Corporation	$1,444	1352%
Prime Health	$1,475	1381%
Careworks (Rockport Community)	$1,520	1423%
Aetna	$1,581	1480%
Plotkin Health	$2,636	2468%
Prime Health Sheriff	$2,636	2468%
Corizon Phs	$3,163	2961%
Multiplan	$4,112 - $4,481	3850%
Evernorth	$4,217	3948%
Evolutions Healthcare	$4,481	4195%
Ppo Next	$4,481	4195%
Novanet	$4,744	4442%
Beacon Health Options	$5,271	4935%

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 $5,271.
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 North Florida 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.