CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Sarasota Memorial Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $112
Cash Discount Price: $449
vs. Medicare Baseline: 1.05x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Sarasota Memorial Hospital is $112. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $449. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.05x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

$449

Average discount available for prompt cash payment at this facility.

Insurance Median

$112

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: $449 (420%)

Insurance Median: $112 (105%)

Cash: $449 (420% of Medicare)

Ins. Median: $112 (105% 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.

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
Molina Oncology	$20 - $63	19%
Simply Healthcare Oncology	$20 - $61	19%
Sunshine State Oncology	$20 - $61	19%
Amerihealth Caritas Oncology	$21 - $64	20%
Community Care Plan Oncology	$21 - $64	20%
Blue Cross Blue Shield	$25 - $130	23%
Florida Community Care Oncology	$25 - $98	23%
UnitedHealthcare	$28 - $1,136	26%
Wellcare Oncology	$28 - $84	26%
Aetna	$30 - $1,210	28%
Simply Freedom Optimum Oncology	$30 - $88	28%
Oscar Oncology	$46 - $134	43%
Ambetter / Centene	$70 - $288	66%
Simply Healthcare	$70 - $73	66%
Sunshine State	$73	68%
Molina	$75	70%
Amerihealth Caritas	$77	72%
Community Care Plan	$77	72%
Florida Community Care	$77 - $117	72%
Simply Freedom Optimum	$112	105%
Wellcare	$112	105%
Avmed	$608 - $1,104	569%
Usa Managed Care	$666 - $1,210	624%
First Health	$691 - $1,255	647%
Careworks	$917 - $1,022	859%
Enlyte	$917 - $1,022	859%

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 $449.
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 Sarasota Memorial 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.