CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Florida Lawnwood Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $1,342
  • Cash Discount Price: $4,426
  • vs. Medicare Baseline: 12.56x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Florida Lawnwood Hospital is $1,342. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,426. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.56x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$4,426

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,342

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: $4,426 (4144%)
Insurance Median: $1,342 (1256%)
Cash: $4,426 (4144% of Medicare)
Ins. Median: $1,342 (1256% 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 1256% of the Medicare baseline (a markup of 1156%). 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 $68 - $3,424 64%
Pinnacol Workers Comp $169 158%
Multiplan $176 - $4,164 165%
United $185 - $2,082 173%
Freedom Health $201 - $374 188%
Optimum $201 188%
Rocky Mountain Health Plan $245 229%
Cigna $268 - $2,961 251%
Avmed $304 - $1,168 285%
Simply Healthcare Plans $304 285%
Molina $444 - $631 416%
Health Sun Health Plan $498 466%
Corvel Corporation $585 548%
Sunshine State Health Plan $596 558%
Careworks (Rockport) $598 560%
Prime Health $598 - $4,164 560%
Vail Health $667 - $703 624%
Aetna $701 - $2,443 656%
Office Of Sheiff Highland Co $818 766%
Humana $864 - $934 809%
Kaiser $877 - $1,643 821%
United Ppo $1,028 962%
Plotkin Health $1,168 1094%
Prime Health Sherriff $1,168 1094%
Bright Health $1,316 - $1,388 1232%
Evernorth Bh $1,869 1750%
Western Plains Community Health $2,852 - $3,008 2670%
Northcare $3,071 - $3,239 2875%
Physician Health Partners $3,071 - $3,239 2875%
Medical Development International $3,510 - $3,702 3286%

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