CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida Englewood Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $1,628
Cash Discount Price: $6,383
vs. Medicare Baseline: 15.24x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida Englewood Hospital is $1,628. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,383. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 15.24x the Medicare baseline. Located in 700 Medical Blvd, Englewood, FL.

Cash / Self-Pay

$6,383

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,628

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: $6,383 (5976%)

Insurance Median: $1,628 (1524%)

Cash: $6,383 (5976% of Medicare)

Ins. Median: $1,628 (1524% 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 1524% of the Medicare baseline (a markup of 1424%). 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 - $2,892	229%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$298 - $302	279%
Access 2 Healthcare Physicians Freedom Health	$456 - $463	427%
Access 2 Healthcare Physicians Optimum	$456 - $463	427%
Freedom Health Care	$495 - $501	463%
Optimum Healthcare	$495 - $501	463%
Avmed	$507 - $1,606	475%
Simply Healthcare	$976 - $990	914%
Molina	$1,205 - $1,735	1128%
Corvel Corporation	$1,388	1300%
Rockport Healthcare Group	$1,388	1300%
Prime Health	$1,417	1327%
Sunshine State Health Plan	$1,617 - $1,639	1514%
Humana	$1,775 - $1,799	1662%
Aetna	$1,902 - $1,928	1781%
Behealthy America	$2,473 - $2,506	2315%
Evolutions Healthcare Systems	$3,170 - $5,912	2968%
Healthcare Sarasota	$3,170 - $3,213	2968%
Plotkin Health	$3,170 - $3,213	2968%
Prime Health Sheriff	$3,170 - $3,213	2968%
Multiplan	$4,755 - $5,462	4452%

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 $6,383.
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 Englewood 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.