CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: HCA Florida Palms West Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $1,028
Cash Discount Price: $4,672
vs. Medicare Baseline: 9.62x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at HCA Florida Palms West Hospital is $1,028. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,672. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.62x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.

Cash / Self-Pay

$4,672

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,028

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: $4,672 (4374%)

Insurance Median: $1,028 (962%)

Cash: $4,672 (4374% of Medicare)

Ins. Median: $1,028 (962% 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 962% of the Medicare baseline (a markup of 862%). 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 - $2,102	229%
Freedom Health	$402 - $748	376%
Optimum	$402	376%
Healthy Palm Beaches	$550	515%
Avmed	$607 - $2,336	568%
Simply Healthcare Plans	$607	568%
Molina	$888 - $1,261	831%
Corvel Corporation	$969	907%
Humana	$981 - $1,588	918%
Careworks (Rockport)	$989	926%
Prime Health	$989	926%
Health Sun Health Plan	$995	932%
Aids Healthcare	$1,028 - $5,606	962%
Mmm Of Fl (Health Advantage Plan)	$1,075	1006%
United Ppo	$1,107	1036%
Sunshine State Health Plan	$1,215	1138%
Aetna	$1,402	1313%
Health Care District	$2,336	2187%
Palm Beach Juvenile Correction	$2,336	2187%
Plotkin Health	$2,336	2187%
Prime Health Sherriff	$2,336	2187%
Medica Healthcare	$2,710	2537%
Multiplan	$3,504 - $3,971	3281%

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 $4,672.
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 Palms West 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.