CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: HCA Florida Jfk Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $1,152
Cash Discount Price: $5,238
vs. Medicare Baseline: 10.79x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at HCA Florida Jfk Hospital is $1,152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,238. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.79x the Medicare baseline. Located in 5301 S Congress Ave, Atlantis, FL.

Cash / Self-Pay

$5,238

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,152

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: $5,238 (4904%)

Insurance Median: $1,152 (1079%)

Cash: $5,238 (4904% of Medicare)

Ins. Median: $1,152 (1079% 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 1079% of the Medicare baseline (a markup of 979%). 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 - $2,357	229%
Freedom Health	$450 - $838	421%
Optimum	$450	421%
Healthy Palm Beaches	$550	515%
Avmed	$681 - $2,619	638%
Simply Healthcare Plans	$681	638%
Molina	$890 - $1,414	833%
Corvel Corporation	$969	907%
Careworks (Rockport)	$989	926%
Prime Health	$989	926%
Humana	$1,100 - $1,781	1030%
Health Sun Health Plan	$1,116	1045%
Aids Healthcare	$1,152 - $6,286	1079%
Mmm Of Fl (Health Advantage Plan)	$1,205	1128%
United Ppo	$1,241	1162%
Sunshine State Health Plan	$1,362	1275%
Aetna	$1,571	1471%
Blis	$1,833	1716%
District Cares	$2,619	2452%
Plotkin Health	$2,619	2452%
Prime Health Sherriff	$2,619	2452%
Medica Healthcare	$3,090	2893%
Multiplan	$3,928 - $4,452	3678%
Evernorth Bh	$4,190	3923%

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 $5,238.
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 Jfk 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.