CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida Lawnwood Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $1,214
  • Cash Discount Price: $5,640
  • vs. Medicare Baseline: 11.37x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida Lawnwood Hospital is $1,214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,640. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.37x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$5,640

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,214

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: $5,640 (5280%)
Insurance Median: $1,214 (1137%)
Cash: $5,640 (5280% of Medicare)
Ins. Median: $1,214 (1137% 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 1137% of the Medicare baseline (a markup of 1037%). 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
Blue Cross Blue Shield $92 - $4,212 86%
Pinnacol Workers Comp $169 158%
Multiplan $176 - $5,122 165%
United $185 - $2,561 173%
Rocky Mountain Health Plan $245 229%
Cigna $268 - $3,642 251%
Freedom Health $307 - $571 287%
Optimum $307 287%
Avmed $464 - $1,786 434%
Simply Healthcare Plans $464 434%
Molina $678 - $964 635%
Health Sun Health Plan $761 712%
Vail Health $857 - $865 802%
Sunshine State Health Plan $911 853%
Aetna $1,071 - $3,005 1003%
Kaiser $1,128 - $2,020 1056%
Office Of Sheiff Highland Co $1,250 1170%
Humana $1,321 - $1,428 1237%
Corvel Corporation $1,425 1334%
Careworks (Rockport) $1,455 1362%
Prime Health $1,455 - $5,122 1362%
United Ppo $1,571 1471%
Bright Health $1,692 - $1,707 1584%
Plotkin Health $1,786 1672%
Prime Health Sherriff $1,786 1672%
Evernorth Bh $2,857 2675%
Western Plains Community Health $3,666 - $3,699 3432%
Northcare $3,948 - $3,984 3696%
Physician Health Partners $3,948 - $3,984 3696%
Medical Development International $4,512 - $4,553 4224%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals