CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: South Florida Baptist Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $785
Cash Discount Price: $1,206
vs. Medicare Baseline: 7.35x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at South Florida Baptist Hospital is $785. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,206. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.35x the Medicare baseline. Located in 301 N Alexander St, Plant City, FL.

Cash / Self-Pay

$1,206

Average discount available for prompt cash payment at this facility.

Insurance Median

$785

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: $1,206 (1129%)

Insurance Median: $785 (735%)

Cash: $1,206 (1129% of Medicare)

Ins. Median: $785 (735% 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 735% of the Medicare baseline (a markup of 635%). 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
Clear Health Alliance	$71	66%
UnitedHealthcare	$71 - $1,809	66%
Freedom Health	$73	68%
Humana	$73 - $133	68%
Molina Healthcare	$73	68%
Simply Healthcare	$73 - $362	68%
Sunshine Health	$73	68%
Aetna	$75 - $1,638	70%
Florida Community Care	$77	72%
Baycareplus	$107	100%
Blue Cross Blue Shield	$107 - $1,064	100%
Solis Health	$117	110%
Cigna	$123 - $1,749	115%
Wellcare	$149	140%
Ambetter / Centene	$240 - $2,010	225%
Molina	$362 - $1,188	339%
Freedom	$402	376%
Optimum	$402	376%
Careplus	$459	430%
Ultimate Health Plan	$603	565%
Avmed	$623 - $985	583%
Evolutions	$1,005 - $1,869	941%
First Health	$1,708	1599%
Multiplan	$1,809	1694%

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 $1,206.
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 South Florida 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.