CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: HCA Florida Twin Cities Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $2,611
Cash Discount Price: $6,870
vs. Medicare Baseline: 24.45x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at HCA Florida Twin Cities Hospital is $2,611. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,870. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 24.45x the Medicare baseline. Located in 2190 Hwy 85 N, Niceville, FL.

Cash / Self-Pay

$6,870

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,611

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: $6,870 (6432%)

Insurance Median: $2,611 (2445%)

Cash: $6,870 (6432% of Medicare)

Ins. Median: $2,611 (2445% 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 2445% of the Medicare baseline (a markup of 2345%). 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 - $3,092	229%
Corvel Corporation	$933	874%
Prime Health	$952	891%
Careworks (Rockport Community)	$982	919%
Simply	$1,058	991%
Molina Healthcare	$1,305 - $2,198	1222%
Avmed	$1,649 - $3,435	1544%
Sunshine State Health Plan	$1,752	1640%
Aetna	$2,061	1930%
Humana	$2,611	2445%
Plotkin Health	$3,435	3216%
Prime Health Sheriff	$3,435	3216%
Evolutions Healthcare	$4,466 - $5,840	4181%
Multiplan	$5,359 - $5,840	5017%
Ppo Next	$5,840	5468%
Novanet	$6,183	5789%

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 $6,870.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76536.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Twin Cities Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76536.
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.