CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Baptist Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $111
Cash Discount Price: $110
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Baptist Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 123 Baptist Way, Pensacola, FL.

Cash / Self-Pay

$110

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $110 (103%)

Insurance Median: $111 (104%)

Cash: $110 (103% of Medicare)

Ins. Median: $111 (104% 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
Pensacola	$19 - $200	18%
UnitedHealthcare	$33 - $354	31%
Hospice Regency	$38 - $401	36%
Cigna	$59 - $1,336	55%
Hospice Emerald Coast	$62 - $668	58%
Aetna	$70 - $975	66%
Cha Health Plan	$70	66%
Humana	$73 - $109	68%
Mh Sunshine Mcaid	$73	68%
Staywell	$73	68%
Sunshine Health	$73	68%
Escambia	$75 - $802	70%
Fl Community Care Ltc	$75	70%
Simply Healthcare Healthy Kids	$80	75%
Private Healthcare	$81 - $868	76%
Uwf Athletes	$81 - $868	76%
First Health	$87 - $929	81%
Wc Corvel	$89 - $1,269	83%
Choicecare	$94 - $1,002	88%
Mh Choicecare	$94 - $1,002	88%
Hospice Covenant	$107	100%
Medicare (plans)	$107	100%
Healthspring Of Fl Al	$110	103%
Multiplan	$111 - $1,189	104%
Mh Wellcare	$112	105%
Wellcare	$112	105%
Fl Blue	$160 - $611	150%
Bc Fl	$438	410%

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 $110.
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 Baptist 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.