CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida Raulerson Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $1,044
  • Cash Discount Price: $3,940
  • vs. Medicare Baseline: 9.77x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida Raulerson Hospital is $1,044. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,940. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.77x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$3,940

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,044

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: $3,940 (3689%)
Insurance Median: $1,044 (977%)
Cash: $3,940 (3689% of Medicare)
Ins. Median: $1,044 (977% 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 977% of the Medicare baseline (a markup of 877%). 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
United $245 - $1,773 229%
Freedom Health $339 - $630 317%
Optimum $339 317%
Avmed $512 - $1,970 479%
Simply Healthcare Plans $512 479%
Molina $749 - $1,064 701%
Health Sun Health Plan $839 786%
Sunshine State Health Plan $1,005 941%
Aetna $1,182 1107%
Corvel Corporation $1,287 1205%
Careworks (Rockport) $1,314 1230%
Prime Health $1,314 1230%
Humana $1,458 - $1,576 1365%
United Ppo $1,734 1623%
Plotkin Health $1,970 1844%
Prime Health Sherriff $1,970 1844%
Multiplan $2,955 - $3,349 2767%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1796 Hwy 441 North, Okeechobee, FL 34972
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals