CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: HCA Florida Osceola Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $1,902
Cash Discount Price: $5,244
vs. Medicare Baseline: 17.81x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at HCA Florida Osceola Hospital is $1,902. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,244. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 17.81x the Medicare baseline. Located in 700 West Oak Street, Kissimmee, FL.

Cash / Self-Pay

$5,244

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,902

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: $5,244 (4910%)

Insurance Median: $1,902 (1781%)

Cash: $5,244 (4910% of Medicare)

Ins. Median: $1,902 (1781% 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 1781% of the Medicare baseline (a markup of 1681%). 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 - $2,563	229%
Freedom Health	$349 - $410	327%
Optimum	$349 - $410	327%
Avmed	$388 - $2,848	363%
Simply	$746 - $877	698%
Molina Healthcare	$920 - $1,538	861%
Corvel Corporation	$924	865%
Prime Health	$944	884%
Careworks (Rockport Community)	$973	911%
Sunshine State Health Plan	$1,235 - $1,452	1156%
Humana	$1,356 - $1,595	1270%
Aetna	$1,453 - $1,709	1360%
Plotkin Health	$2,422 - $2,848	2268%
Prime Health Sheriff	$2,422 - $2,848	2268%
Multiplan	$3,633 - $4,841	3401%
Evernorth	$3,876 - $4,556	3629%
Ppo Next	$4,118 - $4,841	3855%
Novanet	$4,360 - $5,126	4082%
Beacon Health Options	$4,845 - $5,695	4536%

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 $5,244.
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 Osceola 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.