CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $2,902
Cash Discount Price: $6,140
vs. Medicare Baseline: 27.17x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Florida Fort Walton-Destin Hospital is $2,902. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,140. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 27.17x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$6,140

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,902

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: $6,140 (5749%)

Insurance Median: $2,902 (2717%)

Cash: $6,140 (5749% of Medicare)

Ins. Median: $2,902 (2717% 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 2717% of the Medicare baseline (a markup of 2617%). 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 - $3,437	229%
Corvel Corporation	$568	532%
Prime Health	$580	543%
Careworks (Rockport Community)	$598	560%
Simply	$885 - $1,176	829%
Molina Healthcare	$1,091 - $2,444	1021%
Avmed	$1,379 - $3,819	1291%
Sunshine State Health Plan	$1,465 - $1,947	1372%
Aetna	$1,723 - $2,291	1613%
Humana	$2,183 - $2,902	2044%
Plotkin Health	$2,872 - $3,819	2689%
Prime Health Sheriff	$2,872 - $3,819	2689%
Evolutions Healthcare	$3,734 - $6,873	3496%
Naphcare	$3,734 - $4,964	3496%
Multiplan	$4,480 - $6,492	4194%
Evernorth	$4,595 - $6,110	4302%
Ppo Next	$4,882 - $6,492	4571%
Novanet	$5,169 - $6,873	4839%
Beacon Health Options	$5,744 - $7,637	5378%

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 $6,140.
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 Fort Walton-Destin 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.