CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Parrish Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $558
  • Cash Discount Price: $553
  • vs. Medicare Baseline: 5.22x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Parrish Medical Center is $558. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $553. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.22x the Medicare baseline. Located in 951 N Washington Ave, Titusville, FL.
Cash / Self-Pay
$553

Average discount available for prompt cash payment at this facility.

Insurance Median
$558

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: $553 (518%)
Insurance Median: $558 (522%)
Cash: $553 (518% of Medicare)
Ins. Median: $558 (522% 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 522% of the Medicare baseline (a markup of 422%). 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
Aetna $70 - $719 66%
Freedom Health $70 - $107 66%
Healthease/Staywell Of Florida Inc $70 66%
Humana $70 - $691 66%
Medicaid / KanCare $70 - $373 66%
Sunshine State Health Plan $70 66%
Molina Healthcare Of Florida $73 68%
Veterans $82 77%
Florida Health Care Plan $105 98%
Health First Health Plans $107 - $1,382 100%
Medicare (plans) $107 100%
Tricare $109 102%
Cigna $110 - $967 103%
UnitedHealthcare $113 - $954 106%
Corvel Healthcare Corporation $135 - $1,008 126%
Webtpa $144 135%
Careplus Health Plans Inc. $191 179%
Florida Health Care Plan Commercial $207 - $836 194%
Auto $218 204%
Blue Cross Blue Shield $241 - $558 226%
Florida Mhs Inc $373 349%
Simply Healthcare Plans $373 349%
Pmc Hpi Employee Plan $525 492%
Pmc Preferred Benefit Administrators $525 492%
Brevard County Commissioners $663 621%
Brevard School Board $663 621%
Coventry Healthcare $1,244 1165%
Coventry Helthcare Inc $1,244 1165%
First Health Group Corp $1,244 1165%
Beech Street Corporation $1,313 1229%
Multiplan Inc $1,313 1229%
Private Healthcare Systems Inc $1,313 1229%
Early Steps $1,382 1294%
No Contract $1,382 1294%
Self Pay $1,382 1294%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 951 N Washington Ave, Titusville, FL 32796
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals