CMS Price Transparency Data

Ultrasound, pelvis

Facility: HCA Florida Largo Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $834
Cash Discount Price: $3,514
vs. Medicare Baseline: 7.81x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at HCA Florida Largo Hospital is $834. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,514. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.81x the Medicare baseline. Located in 201 14Th St Sw, Largo, FL.

Cash / Self-Pay

$3,514

Average discount available for prompt cash payment at this facility.

Insurance Median

$834

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: $3,514 (3290%)

Insurance Median: $834 (781%)

Cash: $3,514 (3290% of Medicare)

Ins. Median: $834 (781% 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 781% of the Medicare baseline (a markup of 681%). 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	$76 - $255	71%
Aetna	$111 - $1,626	104%
Access 2 Healthcare Physicians Freedom Health	$116 - $390	109%
Access 2 Healthcare Physicians Optimum	$116 - $390	109%
Freedom Health Care	$125 - $423	117%
Optimum Healthcare	$125 - $423	117%
United	$245 - $2,438	229%
Simply Healthcare	$248 - $834	232%
Molina	$306 - $1,463	286%
Avmed	$354 - $1,355	331%
Sunshine State Health Plan	$410 - $1,382	384%
Humana	$450 - $1,517	421%
Beacon Health Options	$804 - $2,709	753%
Plotkin Health	$804 - $2,709	753%
Prime Health Sheriff	$804 - $2,709	753%
Evolutions Healthcare Systems	$885 - $4,985	829%
Corvel Corporation	$1,051	984%
Rockport Healthcare Group	$1,051	984%
Prime Health	$1,073	1005%
Multiplan	$1,206 - $4,606	1129%
Evernorth	$1,287 - $4,335	1205%
Emerging Therapy Solutions	$3,631	3399%
UnitedHealthcare	$5,419	5073%

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 $3,514.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76856.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Largo Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76856.
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.