CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida Brandon Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $2,879
Cash Discount Price: $11,517
vs. Medicare Baseline: 26.95x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida Brandon Hospital is $2,879. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,517. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 26.95x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.

Cash / Self-Pay

$11,517

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,879

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: $11,517 (10783%)

Insurance Median: $2,879 (2695%)

Cash: $11,517 (10783% of Medicare)

Ins. Median: $2,879 (2695% 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 2695% of the Medicare baseline (a markup of 2595%). 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 - $5,183	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$541	507%
Access 2 Healthcare Physicians Freedom Health	$829	776%
Access 2 Healthcare Physicians Optimum	$829	776%
Freedom Health Care	$898	841%
Optimum Healthcare	$898	841%
Avmed	$921 - $2,879	862%
Corvel Corporation	$1,388	1300%
Rockport Healthcare Group	$1,388	1300%
Prime Health	$1,417	1327%
Simply Healthcare	$1,774	1661%
Molina	$2,188 - $3,110	2048%
Sunshine State Health Plan	$2,937	2750%
Humana	$3,225	3019%
Aetna	$3,455	3235%
Beacon Health Options	$5,759	5392%
Plotkin Health	$5,759	5392%
Prime Health Sheriff	$5,759	5392%
Evolutions Healthcare Systems	$6,910 - $10,596	6469%
Multiplan	$8,638 - $9,790	8087%
Evernorth	$9,214	8627%

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 $11,517.
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 Brandon 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.