CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Florida Northside Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $746
Cash Discount Price: $3,391
vs. Medicare Baseline: 6.98x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Florida Northside Hospital is $746. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,391. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.98x the Medicare baseline. Located in 6000 49Th St N, Saint Petersburg, FL.

Cash / Self-Pay

$3,391

Average discount available for prompt cash payment at this facility.

Insurance Median

$746

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: $3,391 (3175%)

Insurance Median: $746 (698%)

Cash: $3,391 (3175% of Medicare)

Ins. Median: $746 (698% 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 698% of the Medicare baseline (a markup of 598%). 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	$159	149%
Access 2 Healthcare Physicians Freedom Health	$244	228%
Access 2 Healthcare Physicians Optimum	$244	228%
United	$245 - $1,526	229%
Freedom Health Care	$264	247%
Optimum Healthcare	$264	247%
Avmed	$271 - $848	254%
Simply Healthcare	$522	489%
Corvel Corporation	$570	534%
Rockport Healthcare Group	$570	534%
Prime Health	$582	545%
Molina	$644 - $916	603%
Sunshine State Health Plan	$865	810%
Humana	$949	888%
Aetna	$1,017	952%
Plotkin Health	$1,695	1587%
Prime Health Sheriff	$1,695	1587%
Evolutions Healthcare Systems	$1,865 - $3,119	1746%
Multiplan	$2,543 - $2,882	2381%

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 $3,391.
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 Northside 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.