CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc.

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $371
  • Cash Discount Price: $967
  • vs. Medicare Baseline: 3.47x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at H. Lee Moffitt Cancer Center and Research Institute Hospital, Inc. is $371. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $967. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.47x the Medicare baseline. Located in 12902 Magnolia Dr, Tampa, FL.
Cash / Self-Pay
$967

Average discount available for prompt cash payment at this facility.

Insurance Median
$371

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: $967 (905%)
Insurance Median: $371 (347%)
Cash: $967 (905% of Medicare)
Ins. Median: $371 (347% 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 347% of the Medicare baseline (a markup of 247%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Simply $16 15%
United Hc $17 - $1,933 16%
Aetna $26 - $1,063 24%
Blue Cross Blue Shield $26 - $1,453 24%
Devoted $26 - $408 24%
Humana $26 - $1,256 24%
Baycare $28 - $390 26%
Careplus $28 - $390 26%
Freedom Health $29 - $87 27%
Health First $29 - $1,063 27%
Optimum $29 - $87 27%
Cigna $31 - $1,160 29%
Evolutions $31 - $1,546 29%
Avmed $37 - $1,160 35%
Multiplan $42 - $1,546 39%
Molina $379 355%
Emerging Therapies $1,160 1086%
UnitedHealthcare $1,160 1086%
First Health $1,450 1358%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12902 Magnolia Dr, Tampa, FL 33612
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL