CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $2,072
Cash Discount Price: $4,152
vs. Medicare Baseline: 19.40x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at HCA Florida Fort Walton-Destin Hospital is $2,072. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,152. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.40x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$4,152

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,072

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: $4,152 (3887%)

Insurance Median: $2,072 (1940%)

Cash: $4,152 (3887% of Medicare)

Ins. Median: $2,072 (1940% 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 1940% of the Medicare baseline (a markup of 1840%). 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 - $1,873	229%
Simply	$638 - $641	597%
Molina Healthcare	$787 - $1,332	737%
Corvel Corporation	$933	874%
Prime Health	$952	891%
Careworks (Rockport Community)	$982	919%
Avmed	$994 - $2,081	931%
Sunshine State Health Plan	$1,056 - $1,061	989%
Aetna	$1,243 - $1,249	1164%
Humana	$1,574 - $1,581	1474%
Plotkin Health	$2,072 - $2,081	1940%
Prime Health Sheriff	$2,072 - $2,081	1940%
Evolutions Healthcare	$2,693 - $3,746	2521%
Naphcare	$2,693 - $2,705	2521%
Multiplan	$3,232 - $3,537	3026%
Evernorth	$3,314 - $3,329	3103%
Ppo Next	$3,522 - $3,537	3297%
Novanet	$3,729 - $3,746	3491%
Beacon Health Options	$4,143 - $4,162	3879%

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 $4,152.
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 Fort Walton-Destin 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.