CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Florida Raulerson Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $933
  • Cash Discount Price: $3,590
  • vs. Medicare Baseline: 8.74x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Florida Raulerson Hospital is $933. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,590. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.74x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$3,590

Average discount available for prompt cash payment at this facility.

Insurance Median
$933

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: $3,590 (3361%)
Insurance Median: $933 (874%)
Cash: $3,590 (3361% of Medicare)
Ins. Median: $933 (874% 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 874% of the Medicare baseline (a markup of 774%). 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 - $1,616 229%
Freedom Health $309 - $574 289%
Optimum $309 289%
Avmed $467 - $1,795 437%
Simply Healthcare Plans $467 437%
Corvel Corporation $529 495%
Careworks (Rockport) $540 506%
Prime Health $540 506%
Molina $682 - $969 639%
Health Sun Health Plan $765 716%
Sunshine State Health Plan $915 857%
Aetna $1,077 1008%
Humana $1,328 - $1,436 1243%
United Ppo $1,580 1479%
Plotkin Health $1,795 1681%
Prime Health Sherriff $1,795 1681%
Multiplan $2,692 - $3,052 2520%

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