CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Florida Gulf Coast Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $1,537
  • Cash Discount Price: $4,046
  • vs. Medicare Baseline: 14.39x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Florida Gulf Coast Hospital is $1,537. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,046. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.39x the Medicare baseline. Located in 449 W 23Rd St, Panama City, FL.
Cash / Self-Pay
$4,046

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,537

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: $4,046 (3788%)
Insurance Median: $1,537 (1439%)
Cash: $4,046 (3788% of Medicare)
Ins. Median: $1,537 (1439% 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 1439% of the Medicare baseline (a markup of 1339%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 - $1,838 229%
Simply $500 - $629 468%
Corvel Corporation $523 490%
Prime Health $534 500%
Careworks (Rockport Community) $551 516%
Molina Healthcare $617 - $1,307 578%
Avmed $780 - $2,043 730%
Sunshine State Health Plan $829 - $1,042 776%
Aetna $975 - $1,226 913%
Humana $1,235 - $1,552 1156%
Plotkin Health $1,625 - $2,043 1521%
Prime Health Sheriff $1,625 - $2,043 1521%
Multiplan $2,535 - $3,472 2373%
Ppo Next $2,762 - $3,472 2586%
Novanet $2,925 - $3,677 2739%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 449 W 23Rd St, Panama City, FL 32405
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals