CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Florida Brandon Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $1,091
Cash Discount Price: $4,365
vs. Medicare Baseline: 10.21x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Florida Brandon Hospital is $1,091. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,365. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.21x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.

Cash / Self-Pay

$4,365

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,091

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: $4,365 (4087%)

Insurance Median: $1,091 (1021%)

Cash: $4,365 (4087% of Medicare)

Ins. Median: $1,091 (1021% 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 1021% of the Medicare baseline (a markup of 921%). 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	$205	192%
United	$245 - $1,964	229%
Access 2 Healthcare Physicians Freedom Health	$314	294%
Access 2 Healthcare Physicians Optimum	$314	294%
Freedom Health Care	$340	318%
Optimum Healthcare	$340	318%
Avmed	$349 - $1,091	327%
Corvel Corporation	$570	534%
Rockport Healthcare Group	$570	534%
Prime Health	$582	545%
Simply Healthcare	$672	629%
Molina	$829 - $1,179	776%
Sunshine State Health Plan	$1,113	1042%
Humana	$1,222	1144%
Aetna	$1,310	1226%
Beacon Health Options	$2,183	2044%
Plotkin Health	$2,183	2044%
Prime Health Sheriff	$2,183	2044%
Evolutions Healthcare Systems	$2,619 - $4,016	2452%
Multiplan	$3,274 - $3,711	3065%
Evernorth	$3,492	3269%

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 $4,365.
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 Brandon 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.