CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Ascension St Vincent's Southside

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $109
Cash Discount Price: $897
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Ascension St Vincent's Southside is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $897. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.02x the Medicare baseline. Located in 4201 Belfort Rd, Jacksonville, FL.

Cash / Self-Pay

$897

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $897 (840%)

Insurance Median: $109 (102%)

Cash: $897 (840% of Medicare)

Ins. Median: $109 (102% 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.

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
Humana	$102 - $108	95%
Bc Advantage Mcr Replacement	$107	100%
Blue Cross Blue Shield	$107	100%
Community Hospice	$107	100%
Coventry Mcr Replacement Hmo	$107	100%
Haven Hospice	$107	100%
Medicare (plans)	$107 - $109	100%
Pace Place	$107	100%
Research Study Encore Borland-Groover	$107	100%
Veterans Administration	$107	100%
Wellcare	$107	100%
Cigna	$108 - $897	101%
UnitedHealthcare	$108 - $236	101%
Careplus Mcr Replacement	$109	102%
Aetna	$110 - $239	103%
Bright Health	$144 - $155	135%
Smarthealth	$149	140%
Oscar Health Plan	$171	160%
Employer Direct Healthcare	$187	175%
90 Degree Benefits	$192	180%
Avmed Exchange	$192	180%
Molina Exchange	$197	184%
Occunet	$197 - $240	184%
Ambetter / Centene	$203	190%

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 $897.
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 Ascension St Vincent's Southside 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.