CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida Palms West Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $1,463
Cash Discount Price: $6,361
vs. Medicare Baseline: 13.70x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida Palms West Hospital is $1,463. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,361. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 13.70x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.

Cash / Self-Pay

$6,361

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,463

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: $6,361 (5955%)

Insurance Median: $1,463 (1370%)

Cash: $6,361 (5955% of Medicare)

Ins. Median: $1,463 (1370% 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 1370% of the Medicare baseline (a markup of 1270%). 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 - $2,862	229%
Freedom Health	$547 - $1,018	512%
Optimum	$547	512%
Healthy Palm Beaches	$550	515%
Avmed	$827 - $3,180	774%
Simply Healthcare Plans	$827	774%
Molina	$1,209 - $1,717	1132%
Humana	$1,336 - $2,163	1251%
Health Sun Health Plan	$1,355	1269%
Aids Healthcare	$1,399 - $7,633	1310%
Corvel Corporation	$1,436	1344%
Mmm Of Fl (Health Advantage Plan)	$1,463	1370%
Careworks (Rockport)	$1,466	1373%
Prime Health	$1,466	1373%
United Ppo	$1,508	1412%
Sunshine State Health Plan	$1,654	1549%
Aetna	$1,908	1786%
Health Care District	$3,180	2977%
Palm Beach Juvenile Correction	$3,180	2977%
Plotkin Health	$3,180	2977%
Prime Health Sherriff	$3,180	2977%
Medica Healthcare	$3,689	3454%
Multiplan	$4,771 - $5,407	4467%

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 $6,361.
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 Palms West 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.