CMS Price Transparency Data

Ultrasound, pelvis

Facility: HCA Florida Bayonet Point Hospital

Billing Code: 76856 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76856
Insurance Median: $971
Cash Discount Price: $3,598
vs. Medicare Baseline: 9.09x Medicare

The contracted insurance negotiated median rate for a Ultrasound, pelvis at HCA Florida Bayonet Point Hospital is $971. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,598. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.09x the Medicare baseline. Located in 14000 Fivay Rd, Hudson, FL.

Cash / Self-Pay

$3,598

Average discount available for prompt cash payment at this facility.

Insurance Median

$971

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: $3,598 (3369%)

Insurance Median: $971 (909%)

Cash: $3,598 (3369% of Medicare)

Ins. Median: $971 (909% 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 909% of the Medicare baseline (a markup of 809%). 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	$169	158%
United	$245 - $1,619	229%
Access 2 Healthcare Physicians Freedom Health	$259	242%
Access 2 Healthcare Physicians Optimum	$259	242%
Freedom Health Care	$281	263%
Optimum Healthcare	$281	263%
Avmed	$288 - $899	270%
Simply Healthcare	$554	519%
Molina	$684 - $971	640%
Sunshine State Health Plan	$917	859%
Humana	$1,007	943%
Corvel Corporation	$1,051	984%
Rockport Healthcare Group	$1,051	984%
Prime Health	$1,073	1005%
Aetna	$1,079	1010%
Plotkin Health	$1,799	1684%
Prime Health Sheriff	$1,799	1684%
Evolutions Healthcare Systems	$2,159 - $3,310	2021%
Multiplan	$2,698 - $3,058	2526%

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 $3,598.
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 Bayonet Point 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.