CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Florida Kendall Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $617
Cash Discount Price: $2,385
vs. Medicare Baseline: 5.78x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Florida Kendall Hospital is $617. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,385. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.78x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.

Cash / Self-Pay

$2,385

Average discount available for prompt cash payment at this facility.

Insurance Median

$617

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: $2,385 (2233%)

Insurance Median: $617 (578%)

Cash: $2,385 (2233% of Medicare)

Ins. Median: $617 (578% 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 578% of the Medicare baseline (a markup of 478%). 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
Freedom Health	$191 - $409	179%
Optimum	$191 - $220	179%
United	$245 - $1,149	229%
Avmed	$266 - $1,277	249%
Simply Healthcare Plans	$288 - $332	270%
Molina	$421 - $690	394%
Humana	$465 - $868	435%
Health Sun Health Plan	$472 - $544	442%
Aids Healthcare	$488 - $3,065	457%
Mmm Of Fl (Health Advantage Plan)	$510 - $587	477%
United Ppo	$525 - $605	492%
Sunshine State Health Plan	$576 - $664	539%
Corvel Corporation	$612	573%
Careworks (Rockport)	$625	585%
Prime Health	$625	585%
Aetna	$665 - $766	623%
Plotkin Health	$1,108 - $1,277	1037%
Prime Health Sherriff	$1,108 - $1,277	1037%
Medica Healthcare	$1,285 - $1,481	1203%
Multiplan	$1,662 - $2,171	1556%
Evernorth Bh	$1,773 - $2,043	1660%

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 $2,385.
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 Kendall 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.