CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida South Shore Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $1,505
Cash Discount Price: $6,022
vs. Medicare Baseline: 14.09x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida South Shore Hospital is $1,505. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,022. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.09x the Medicare baseline. Located in 4016 Sun City Center Blvd, Sun City Center, FL.

Cash / Self-Pay

$6,022

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,505

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: $6,022 (5638%)

Insurance Median: $1,505 (1409%)

Cash: $6,022 (5638% of Medicare)

Ins. Median: $1,505 (1409% 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 1409% of the Medicare baseline (a markup of 1309%). 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
United	$245 - $2,723	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$282 - $284	264%
Access 2 Healthcare Physicians Freedom Health	$431 - $436	404%
Access 2 Healthcare Physicians Optimum	$431 - $436	404%
Freedom Health Care	$467 - $472	437%
Optimum Healthcare	$467 - $472	437%
Avmed	$479 - $1,513	448%
Simply Healthcare	$923 - $932	864%
Molina	$1,138 - $1,634	1065%
Corvel Corporation	$1,388	1300%
Rockport Healthcare Group	$1,388	1300%
Prime Health	$1,417	1327%
Sunshine State Health Plan	$1,528 - $1,543	1431%
Humana	$1,678 - $1,694	1571%
Aetna	$1,798 - $1,815	1683%
Plotkin Health	$2,996 - $3,026	2805%
Prime Health Sheriff	$2,996 - $3,026	2805%
Evolutions Healthcare Systems	$3,296 - $5,567	3086%
Multiplan	$4,494 - $5,144	4207%

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 $6,022.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76700.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida South Shore Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76700.
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.