CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: HCA Florida Palms West Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $947
Cash Discount Price: $4,306
vs. Medicare Baseline: 8.87x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at HCA Florida Palms West Hospital is $947. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,306. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.87x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.

Cash / Self-Pay

$4,306

Average discount available for prompt cash payment at this facility.

Insurance Median

$947

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: $4,306 (4031%)

Insurance Median: $947 (887%)

Cash: $4,306 (4031% of Medicare)

Ins. Median: $947 (887% 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 887% of the Medicare baseline (a markup of 787%). 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 - $1,938	229%
Freedom Health	$370 - $689	346%
Optimum	$370	346%
Healthy Palm Beaches	$550	515%
Avmed	$560 - $2,153	524%
Simply Healthcare Plans	$560	524%
Corvel Corporation	$590	552%
Careworks (Rockport)	$602	564%
Prime Health	$602	564%
Molina	$818 - $1,163	766%
Humana	$904 - $1,464	846%
Health Sun Health Plan	$917	859%
Aids Healthcare	$947 - $5,167	887%
Mmm Of Fl (Health Advantage Plan)	$990	927%
United Ppo	$1,021	956%
Sunshine State Health Plan	$1,120	1049%
Aetna	$1,292	1210%
Health Care District	$2,153	2016%
Palm Beach Juvenile Correction	$2,153	2016%
Plotkin Health	$2,153	2016%
Prime Health Sherriff	$2,153	2016%
Medica Healthcare	$2,497	2338%
Multiplan	$3,230 - $3,660	3024%

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 $4,306.
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 HCA Florida Palms West 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.