CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $4,094
Cash Discount Price: $8,224
vs. Medicare Baseline: 38.33x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida Fort Walton-Destin Hospital is $4,094. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,224. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 38.33x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$8,224

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,094

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: $8,224 (7700%)

Insurance Median: $4,094 (3833%)

Cash: $8,224 (7700% of Medicare)

Ins. Median: $4,094 (3833% 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 3833% of the Medicare baseline (a markup of 3733%). 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 - $3,718	229%
Simply	$1,261 - $1,272	1181%
Corvel Corporation	$1,382	1294%
Prime Health	$1,411	1321%
Careworks (Rockport Community)	$1,455	1362%
Molina Healthcare	$1,556 - $2,644	1457%
Avmed	$1,965 - $4,131	1840%
Sunshine State Health Plan	$2,088 - $2,107	1955%
Aetna	$2,456 - $2,478	2299%
Humana	$3,111 - $3,139	2913%
Plotkin Health	$4,094 - $4,131	3833%
Prime Health Sheriff	$4,094 - $4,131	3833%
Evolutions Healthcare	$5,322 - $7,435	4983%
Naphcare	$5,322 - $5,370	4983%
Multiplan	$6,386 - $7,022	5979%
Evernorth	$6,550 - $6,609	6132%
Ppo Next	$6,959 - $7,022	6515%
Novanet	$7,369 - $7,435	6899%
Beacon Health Options	$8,187 - $8,261	7665%

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 $8,224.
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 Fort Walton-Destin 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.