CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: HCA Florida Brandon Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $827
Cash Discount Price: $2,954
vs. Medicare Baseline: 7.74x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at HCA Florida Brandon Hospital is $827. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,954. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.74x the Medicare baseline. Located in 119 Oakfield Dr, Brandon, FL.

Cash / Self-Pay

$2,954

Average discount available for prompt cash payment at this facility.

Insurance Median

$827

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: $2,954 (2766%)

Insurance Median: $827 (774%)

Cash: $2,954 (2766% of Medicare)

Ins. Median: $827 (774% 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 774% of the Medicare baseline (a markup of 674%). 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	$139	130%
Access 2 Healthcare Physicians Freedom Health	$213	199%
Access 2 Healthcare Physicians Optimum	$213	199%
Freedom Health Care	$230	215%
Optimum Healthcare	$230	215%
Avmed	$236 - $738	221%
United	$245 - $1,329	229%
Simply Healthcare	$455	426%
Molina	$561 - $798	525%
Sunshine State Health Plan	$753	705%
Humana	$827	774%
Aetna	$886	830%
Corvel Corporation	$937	877%
Rockport Healthcare Group	$937	877%
Prime Health	$956	895%
Beacon Health Options	$1,477	1383%
Plotkin Health	$1,477	1383%
Prime Health Sheriff	$1,477	1383%
Evolutions Healthcare Systems	$1,772 - $2,718	1659%
Multiplan	$2,215 - $2,511	2074%
Evernorth	$2,363	2212%

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 $2,954.
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 Brandon 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.