CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida Oak Hill Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $3,556
Cash Discount Price: $16,164
vs. Medicare Baseline: 33.29x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida Oak Hill Hospital is $3,556. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,164. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 33.29x the Medicare baseline. Located in 11375 Cortez Blvd, Brooksville, FL.

Cash / Self-Pay

$16,164

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,556

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: $16,164 (15133%)

Insurance Median: $3,556 (3329%)

Cash: $16,164 (15133% of Medicare)

Ins. Median: $3,556 (3329% 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 3329% of the Medicare baseline (a markup of 3229%). 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 - $7,274	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$760	712%
Access 2 Healthcare Physicians Freedom Health	$1,164	1090%
Access 2 Healthcare Physicians Optimum	$1,164	1090%
Freedom Health Care	$1,261	1181%
Optimum Healthcare	$1,261	1181%
Avmed	$1,293 - $4,041	1211%
Corvel Corporation	$1,388	1300%
Rockport Healthcare Group	$1,388	1300%
Prime Health	$1,417	1327%
Simply Healthcare	$2,489	2330%
Molina	$3,071 - $4,364	2875%
Sunshine State Health Plan	$4,122	3859%
Humana	$4,526	4237%
Aetna	$4,849	4540%
Plotkin Health	$8,082	7567%
Prime Health Sheriff	$8,082	7567%
Evolutions Healthcare Systems	$9,699 - $14,871	9081%
Multiplan	$12,123 - $13,740	11350%

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 $16,164.
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 Oak Hill 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.