CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Florida West Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $1,435
Cash Discount Price: $2,914
vs. Medicare Baseline: 13.44x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Florida West Hospital is $1,435. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,914. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.44x the Medicare baseline. Located in 8383 N Davis Hwy, Pensacola, FL.

Cash / Self-Pay

$2,914

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,435

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: $2,914 (2728%)

Insurance Median: $1,435 (1344%)

Cash: $2,914 (2728% of Medicare)

Ins. Median: $1,435 (1344% 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 1344% of the Medicare baseline (a markup of 1244%). 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 - $2,259	229%
Freedom Health	$364 - $638	341%
Simply	$442 - $773	414%
Corvel Corporation	$540	506%
Molina Healthcare	$545 - $1,606	510%
Prime Health	$551	516%
Careworks (Rockport Community)	$568	532%
Humana	$574 - $1,004	537%
Avmed	$689 - $2,510	645%
Sunshine State Health Plan	$732 - $1,280	685%
Aetna	$861 - $1,506	806%
Plotkin Health	$1,435 - $2,510	1344%
Prime Health Sheriff	$1,435 - $2,510	1344%
Evolutions Healthcare	$1,865 - $4,267	1746%
Multiplan	$2,238 - $4,267	2095%
Evernorth	$2,296 - $4,016	2150%
Ppo Next	$2,439 - $4,267	2283%
Novanet	$2,583 - $4,518	2418%
Beacon Health Options	$2,870 - $5,020	2687%

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 $2,914.
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 West 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.