CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Florida North Florida Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $1,003
Cash Discount Price: $2,114
vs. Medicare Baseline: 9.39x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Florida North Florida Hospital is $1,003. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,114. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.39x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.

Cash / Self-Pay

$2,114

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,003

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: $2,114 (1979%)

Insurance Median: $1,003 (939%)

Cash: $2,114 (1979% of Medicare)

Ins. Median: $1,003 (939% 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 939% of the Medicare baseline (a markup of 839%). 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
Avmed	$184 - $2,006	172%
United	$230 - $1,805	215%
Simply	$236 - $618	221%
Molina Healthcare	$292 - $1,284	273%
Humana	$307 - $802	287%
Sunshine State Health Plan	$391 - $1,023	366%
Aetna	$461 - $1,204	432%
Corvel Corporation	$593	555%
Prime Health	$606	567%
Careworks (Rockport Community)	$625	585%
Plotkin Health	$768 - $2,006	719%
Prime Health Sheriff	$768 - $2,006	719%
Corizon Phs	$921 - $2,407	862%
Multiplan	$1,197 - $3,410	1121%
Evernorth	$1,228 - $3,210	1150%
Evolutions Healthcare	$1,305 - $3,410	1222%
Ppo Next	$1,305 - $3,410	1222%
Novanet	$1,382 - $3,611	1294%
Beacon Health Options	$1,535 - $4,012	1437%

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 $2,114.
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 North Florida 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.