CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: North Okaloosa Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $133
  • Cash Discount Price: $1,014
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at North Okaloosa Medical Center is $133. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,014. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$1,014

Average discount available for prompt cash payment at this facility.

Insurance Median
$133

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: $1,014 (949%)
Insurance Median: $133 (125%)
Cash: $1,014 (949% of Medicare)
Ins. Median: $133 (125% 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.

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
Amerigroup $70 66%
Medicaid / KanCare $70 66%
UnitedHealthcare $70 - $892 66%
Simply Healthcare $71 - $113 66%
Humana $72 - $113 67%
Integral Health $73 68%
Wellcare $73 - $111 68%
Magellan Health $75 70%
Prestige Health $81 76%
Veterans Eval Services $101 95%
Tricare $104 97%
Aetna $107 - $3,379 100%
Blue Cross Blue Shield $107 - $618 100%
Cigna $107 - $3,514 100%
Medicare (plans) $107 100%
Node Champva $109 102%
Node Non Par Hospice Agree $109 102%
Node Va $109 102%
Florida Department Of Corrections $118 110%
Evolutions $126 - $3,964 118%
Usa Managed Care Work Comp Fl $126 118%
Prime Health Work Comp Fl $129 121%
Amcomp Workers Comp $133 125%
Node Us Dept Of Labor $136 127%
Oscar $202 189%
State Auto Insurance Fl $218 204%
Occunet $273 256%
Self Pay $811 - $1,216 759%
Corizon Health Inc $1,523 1426%
Phcs $4,054 3796%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals