CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida Orange Park Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $4,198
  • Cash Discount Price: $11,825
  • vs. Medicare Baseline: 39.30x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida Orange Park Hospital is $4,198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,825. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 39.30x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.
Cash / Self-Pay
$11,825

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,198

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: $11,825 (11071%)
Insurance Median: $4,198 (3930%)
Cash: $11,825 (11071% of Medicare)
Ins. Median: $4,198 (3930% 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 3930% of the Medicare baseline (a markup of 3830%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 - $5,321 229%
Optimum Healthcare $993 930%
Corvel Corporation $1,367 1280%
Prime Health $1,396 1307%
Avmed $1,419 - $3,311 1329%
Simply Healthcare $1,821 1705%
Positive Healthcare $2,601 2435%
Sunshine State Health Plan $3,015 2823%
Molina Healthcare $3,193 2989%
Aetna $3,547 3321%
Humana $4,848 4539%
Medicare (plans) $5,321 4982%
Plotkin Health $5,912 5535%
Multiplan $9,223 - $10,051 8635%
Evernorth $9,460 8857%
Evolutions Healthcare $9,460 - $10,051 8857%
Ppo Next $10,051 9410%
Novanet $10,642 9963%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 Kingsley Ave, Orange Park, FL 32073
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals