CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Larkin Community Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $110
  • Cash Discount Price: $420
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Larkin Community Hospital is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $420. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.03x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$420

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $420 (393%)
Insurance Median: $110 (103%)
Cash: $420 (393% of Medicare)
Ins. Median: $110 (103% 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
Medicare (plans) $19 - $1,086 18%
Aetna $28 - $1,034 26%
Fci-All Plans $28 - $123 26%
Global Excel-All Plans $28 - $620 26%
Clear Springs Hlth-All Plans $29 - $112 27%
Fdc-All Plans $32 30%
UnitedHealthcare $34 - $144 32%
Medicaid / KanCare $49 - $166 46%
Corvel Mcaid Workers Comp $63 59%
Sunshine Behavioral $63 59%
Ambetter / Centene $70 66%
Community Care Phks Mcaid-All Other Plans $70 66%
Florida Comm Care Mcaid $70 66%
Humana $70 - $1,034 66%
Magellan Complete Care $70 66%
Molina Exch Marketplace-All Other Plans $70 66%
Blue Cross Blue Shield $101 - $804 95%
Florida Comm Care Mcare-All Other Plans $107 100%
Ops Maritime-All Plans $107 100%
Opus Hospice Ip Only-All Plans $107 100%
Preferred Care Partners Mcare-All Plans $107 100%
Jipa Network-All Plans $108 101%
Unicare Simply Mcare Ppo-All Plans $112 105%
Wellpath-All Plans $117 110%
Allianz (Azga)-All Plans $139 130%
Avmed-All Plans $166 - $1,034 155%
Bright Health-All Other Plans $166 - $1,241 155%
Coventry Comml-All Plans $166 - $1,034 155%
Cigna $258 242%
Healthsun-All Plans $310 290%
Star Network-All Plans $414 388%
Jmh Health Plan Hmo/Ppo-All Other Plans $569 533%
Haa Preferred Partners-All Plans $620 580%
Corvel Mcare Workers Comp-All Plans $931 872%
Careplus Health-All Other Plans $1,034 968%
Centurion-All Plans $1,034 968%
Doctors Healthcare-All Plans $1,034 968%
First Med Hp Of Fl-All Plans $1,034 968%
Florida Health Solution/Hmo-All Plans $1,034 968%
Oscar Health-All Plans $2,068 1936%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals