CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: HCA Florida Fawcett Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $999
Cash Discount Price: $3,996
vs. Medicare Baseline: 9.35x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at HCA Florida Fawcett Hospital is $999. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,996. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.35x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.

Cash / Self-Pay

$3,996

Average discount available for prompt cash payment at this facility.

Insurance Median

$999

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: $3,996 (3741%)

Insurance Median: $999 (935%)

Cash: $3,996 (3741% of Medicare)

Ins. Median: $999 (935% 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 935% of the Medicare baseline (a markup of 835%). 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$188	176%
United	$245 - $1,798	229%
Access 2 Healthcare Physicians Freedom Health	$288	270%
Access 2 Healthcare Physicians Optimum	$288	270%
Freedom Health Care	$312	292%
Optimum Healthcare	$312	292%
Avmed	$320 - $999	300%
Simply Healthcare	$615	576%
Molina	$759 - $1,079	711%
Corvel Corporation	$908	850%
Rockport Healthcare Group	$908	850%
Prime Health	$927	868%
Sunshine State Health Plan	$1,019	954%
Humana	$1,119	1048%
Aetna	$1,199	1123%
Behealthy America	$1,558	1459%
Evolutions Healthcare Systems	$1,998 - $3,676	1871%
Healthcare Sarasota	$1,998	1871%
Plotkin Health	$1,998	1871%
Prime Health Sheriff	$1,998	1871%
Multiplan	$2,997 - $3,396	2806%

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 $3,996.
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 Fawcett 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.