CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: HCA Florida Poinciana Hospital

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $1,334
  • Cash Discount Price: $4,464
  • vs. Medicare Baseline: 12.49x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at HCA Florida Poinciana Hospital is $1,334. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,464. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.49x the Medicare baseline. Located in 325 Cypress Pkwy, Kissimmee, FL.
Cash / Self-Pay
$4,464

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,334

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: $4,464 (4179%)
Insurance Median: $1,334 (1249%)
Cash: $4,464 (4179% of Medicare)
Ins. Median: $1,334 (1249% 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 1249% of the Medicare baseline (a markup of 1149%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 - $2,086 229%
Freedom Health $309 - $334 289%
Optimum $309 - $334 289%
Avmed $343 - $2,318 321%
Simply $661 - $714 619%
Molina Healthcare $815 - $1,252 763%
Sunshine State Health Plan $1,094 - $1,182 1024%
Humana $1,202 - $1,298 1125%
Aetna $1,288 - $1,391 1206%
Corvel Corporation $1,369 1282%
Prime Health $1,398 1309%
Careworks (Rockport Community) $1,442 1350%
Plotkin Health $2,146 - $2,318 2009%
Prime Health Sheriff $2,146 - $2,318 2009%
Multiplan $3,219 - $3,940 3014%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 325 Cypress Pkwy, Kissimmee, FL 34758
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals