CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: HCA Florida Gulf Coast Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $1,240
Cash Discount Price: $3,305
vs. Medicare Baseline: 11.61x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at HCA Florida Gulf Coast Hospital is $1,240. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,305. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.61x the Medicare baseline. Located in 449 W 23Rd St, Panama City, FL.

Cash / Self-Pay

$3,305

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,240

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: $3,305 (3094%)

Insurance Median: $1,240 (1161%)

Cash: $3,305 (3094% of Medicare)

Ins. Median: $1,240 (1161% 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 1161% of the Medicare baseline (a markup of 1061%). 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 - $1,713	229%
Simply	$432 - $586	404%
Molina Healthcare	$533 - $1,218	499%
Avmed	$673 - $1,904	630%
Sunshine State Health Plan	$715 - $971	669%
Aetna	$841 - $1,142	787%
Corvel Corporation	$860	805%
Prime Health	$878	822%
Careworks (Rockport Community)	$905	847%
Humana	$1,065 - $1,447	997%
Plotkin Health	$1,402 - $1,904	1313%
Prime Health Sheriff	$1,402 - $1,904	1313%
Multiplan	$2,186 - $3,236	2047%
Ppo Next	$2,383 - $3,236	2231%
Novanet	$2,523 - $3,427	2362%

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 $3,305.
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 Gulf Coast 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.