CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida Northside Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $1,388
Cash Discount Price: $5,258
vs. Medicare Baseline: 13.00x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida Northside Hospital is $1,388. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,258. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.00x the Medicare baseline. Located in 6000 49Th St N, Saint Petersburg, FL.

Cash / Self-Pay

$5,258

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,388

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: $5,258 (4923%)

Insurance Median: $1,388 (1300%)

Cash: $5,258 (4923% of Medicare)

Ins. Median: $1,388 (1300% 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 1300% of the Medicare baseline (a markup of 1200%). 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 - $2,366	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$247	231%
Access 2 Healthcare Physicians Freedom Health	$379	355%
Access 2 Healthcare Physicians Optimum	$379	355%
Freedom Health Care	$410	384%
Optimum Healthcare	$410	384%
Avmed	$421 - $1,315	394%
Simply Healthcare	$810	758%
Molina	$999 - $1,420	935%
Sunshine State Health Plan	$1,341	1256%
Corvel Corporation	$1,388	1300%
Rockport Healthcare Group	$1,388	1300%
Prime Health	$1,417	1327%
Humana	$1,472	1378%
Aetna	$1,578	1477%
Plotkin Health	$2,629	2461%
Prime Health Sheriff	$2,629	2461%
Evolutions Healthcare Systems	$2,892 - $4,838	2708%
Multiplan	$3,944 - $4,470	3693%

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 $5,258.
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 Northside 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.