CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: HCA Florida Kendall Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $647
Cash Discount Price: $2,489
vs. Medicare Baseline: 6.06x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at HCA Florida Kendall Hospital is $647. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,489. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.06x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.

Cash / Self-Pay

$2,489

Average discount available for prompt cash payment at this facility.

Insurance Median

$647

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: $2,489 (2330%)

Insurance Median: $647 (606%)

Cash: $2,489 (2330% of Medicare)

Ins. Median: $647 (606% 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 606% of the Medicare baseline (a markup of 506%). 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
Freedom Health	$214 - $398	200%
Optimum	$214	200%
United	$245 - $1,120	229%
Avmed	$299 - $1,244	280%
Simply Healthcare Plans	$324	303%
Molina	$473 - $672	443%
Humana	$523 - $846	490%
Health Sun Health Plan	$530	496%
Aids Healthcare	$548 - $2,987	513%
Mmm Of Fl (Health Advantage Plan)	$572	536%
United Ppo	$590	552%
Sunshine State Health Plan	$647	606%
Aetna	$747	699%
Corvel Corporation	$1,006	942%
Careworks (Rockport)	$1,027	962%
Prime Health	$1,027	962%
Plotkin Health	$1,244	1165%
Prime Health Sherriff	$1,244	1165%
Medica Healthcare	$1,444	1352%
Multiplan	$1,867 - $2,116	1748%
Evernorth Bh	$1,991	1864%

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 $2,489.
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 Kendall 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.