CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: St Lucie Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $1,634
  • Cash Discount Price: $6,285
  • vs. Medicare Baseline: 15.30x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at St Lucie Medical Center is $1,634. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,285. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.30x the Medicare baseline. Located in 1800 Se Tiffany Ave, Port Saint Lucie, FL.
Cash / Self-Pay
$6,285

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,634

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: $6,285 (5884%)
Insurance Median: $1,634 (1530%)
Cash: $6,285 (5884% of Medicare)
Ins. Median: $1,634 (1530% 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 1530% of the Medicare baseline (a markup of 1430%). 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 - $2,828 229%
Freedom Health $541 - $1,006 507%
Optimum $541 507%
Avmed $817 - $3,142 765%
Simply Healthcare Plans $817 765%
Molina $1,194 - $1,697 1118%
Health Sun Health Plan $1,339 1254%
Corvel Corporation $1,425 1334%
Careworks (Rockport) $1,455 1362%
Prime Health $1,455 1362%
Sunshine State Health Plan $1,603 1501%
Aetna $1,886 1766%
Humana $2,325 - $2,514 2177%
United Ppo $2,765 2589%
Plotkin Health $3,142 2942%
Prime Health Sherriff $3,142 2942%
Multiplan $4,714 - $5,342 4413%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals