CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Florida Orange Park Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $2,363
Cash Discount Price: $5,767
vs. Medicare Baseline: 22.12x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Florida Orange Park Hospital is $2,363. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,767. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 22.12x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.

Cash / Self-Pay

$5,767

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,363

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: $5,767 (5399%)

Insurance Median: $2,363 (2212%)

Cash: $5,767 (5399% of Medicare)

Ins. Median: $2,363 (2212% 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 2212% of the Medicare baseline (a markup of 2112%). 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 - $2,597	229%
Optimum Healthcare	$484 - $485	453%
Corvel Corporation	$562	526%
Prime Health	$574	537%
Avmed	$692 - $1,616	648%
Simply Healthcare	$888 - $889	831%
Positive Healthcare	$1,268 - $1,269	1187%
Sunshine State Health Plan	$1,470 - $1,471	1376%
Molina Healthcare	$1,556 - $1,558	1457%
Aetna	$1,729 - $1,731	1619%
Humana	$2,363 - $2,366	2212%
Medicare (plans)	$2,594 - $2,597	2429%
Plotkin Health	$2,882 - $2,885	2698%
Multiplan	$4,496 - $4,905	4209%
Evernorth	$4,611 - $4,616	4317%
Evolutions Healthcare	$4,611 - $4,905	4317%
PPO Next	$4,900 - $4,905	4588%
Novanet	$5,188 - $5,193	4857%

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 $5,767.
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 Orange Park 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.