CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Gulf Breeze Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $374
Cash Discount Price: $470
vs. Medicare Baseline: 3.50x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Gulf Breeze Hospital is $374. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $470. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.50x the Medicare baseline. Located in 1110 Gulf Breeze Pkwy, Gulf Breeze, FL.

Cash / Self-Pay

$470

Average discount available for prompt cash payment at this facility.

Insurance Median

$374

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: $470 (440%)

Insurance Median: $374 (350%)

Cash: $470 (440% of Medicare)

Ins. Median: $374 (350% 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 350% of the Medicare baseline (a markup of 250%). 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
Aetna	$70 - $2,289	66%
Cha Health Plan	$70	66%
UnitedHealthcare	$70 - $831	66%
Humana	$73 - $109	68%
Sunshine Health	$73	68%
Wellcare	$73 - $112	68%
Fl Community Care Ltc	$75	70%
Simply Healthcare Healthy Kids	$80	75%
Medicare (plans)	$100	94%
Hospice Covenant	$107	100%
Fl Blue	$178 - $605	167%
Bc Fl	$376	352%
Pensacola	$470	440%
Wc Corvel	$505 - $2,979	473%
Hospice Regency	$941	881%
Cigna	$1,490 - $3,136	1395%
Hospice Emerald Coast	$1,568	1468%
Private Healthcare	$2,038	1908%
Uwf Athletes	$2,038	1908%
First Health	$2,180	2041%
Choicecare	$2,352	2202%
Multiplan	$2,791	2613%

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 $470.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Gulf Breeze Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
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.