CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Baycare Hospital Wesley Chapel

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76700
Insurance Median: $793
Cash Discount Price: $1,218
vs. Medicare Baseline: 7.42x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Baycare Hospital Wesley Chapel is $793. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,218. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.42x the Medicare baseline. Located in 4501 Bruce B Downs Blvd, Wesley Chapel, FL.

Cash / Self-Pay

$1,218

Average discount available for prompt cash payment at this facility.

Insurance Median

$793

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: $1,218 (1140%)

Insurance Median: $793 (742%)

Cash: $1,218 (1140% of Medicare)

Ins. Median: $793 (742% 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 742% of the Medicare baseline (a markup of 642%). 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
Aetna	$98 - $1,654	92%
Clear Health Alliance	$106	99%
Baycareplus	$107	100%
Blue Cross Blue Shield	$107 - $1,074	100%
UnitedHealthcare	$107 - $1,827	100%
Humana	$109 - $133	102%
Freedom Health	$111	104%
Molina Healthcare	$111	104%
Simply Healthcare	$111 - $365	104%
Sunshine Health	$111	104%
Florida Community Care	$116	109%
Solis Health	$117	110%
Cigna	$123 - $1,766	115%
Wellcare	$149	140%
Ambetter / Centene	$240 - $2,030	225%
Molina	$365 - $1,200	342%
Freedom	$406	380%
Optimum	$406	380%
Careplus	$464	434%
Ultimate Health Plan	$609	570%
Avmed	$629 - $995	589%
Evolutions	$1,015 - $1,888	950%
First Health	$1,726	1616%
Multiplan	$1,827	1711%

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 $1,218.
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 Baycare Hospital Wesley Chapel 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.