CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Florida Fawcett Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $1,025
Cash Discount Price: $4,100
vs. Medicare Baseline: 9.60x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Florida Fawcett Hospital is $1,025. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,100. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.60x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.

Cash / Self-Pay

$4,100

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,025

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: $4,100 (3839%)

Insurance Median: $1,025 (960%)

Cash: $4,100 (3839% of Medicare)

Ins. Median: $1,025 (960% 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 960% of the Medicare baseline (a markup of 860%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$193	181%
United	$245 - $1,845	229%
Access 2 Healthcare Physicians Freedom Health	$295	276%
Access 2 Healthcare Physicians Optimum	$295	276%
Freedom Health Care	$320	300%
Optimum Healthcare	$320	300%
Avmed	$328 - $1,025	307%
Corvel Corporation	$553	518%
Rockport Healthcare Group	$553	518%
Prime Health	$564	528%
Simply Healthcare	$631	591%
Molina	$779 - $1,107	729%
Sunshine State Health Plan	$1,046	979%
Humana	$1,148	1075%
Aetna	$1,230	1152%
Behealthy America	$1,599	1497%
Evolutions Healthcare Systems	$2,050 - $3,772	1919%
Healthcare Sarasota	$2,050	1919%
Plotkin Health	$2,050	1919%
Prime Health Sheriff	$2,050	1919%
Multiplan	$3,075 - $3,485	2879%

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 $4,100.
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 Fawcett 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.