CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida West Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $1,438
Cash Discount Price: $4,493
vs. Medicare Baseline: 13.46x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida West Hospital is $1,438. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,493. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.46x the Medicare baseline. Located in 8383 N Davis Hwy, Pensacola, FL.

Cash / Self-Pay

$4,493

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,438

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: $4,493 (4207%)

Insurance Median: $1,438 (1346%)

Cash: $4,493 (4207% of Medicare)

Ins. Median: $1,438 (1346% 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 1346% of the Medicare baseline (a markup of 1246%). 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 - $2,022	229%
Freedom Health	$571	535%
Simply	$692	648%
Molina Healthcare	$854 - $1,438	800%
Humana	$899	842%
Avmed	$1,078 - $2,246	1009%
Sunshine State Health Plan	$1,146	1073%
Corvel Corporation	$1,314	1230%
Prime Health	$1,342	1256%
Aetna	$1,348	1262%
Careworks (Rockport Community)	$1,383	1295%
Plotkin Health	$2,246	2103%
Prime Health Sheriff	$2,246	2103%
Evolutions Healthcare	$2,920 - $3,819	2734%
Multiplan	$3,504 - $3,819	3281%
Evernorth	$3,594	3365%
Ppo Next	$3,819	3576%
Novanet	$4,044	3786%
Beacon Health Options	$4,493	4207%

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 $4,493.
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 West 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.