CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Viera Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $415
  • Cash Discount Price: $207
  • vs. Medicare Baseline: 3.89x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Viera Hospital is $415. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $207. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.89x the Medicare baseline. Located in 8745 N Wickham Rd, Melbourne, FL.
Cash / Self-Pay
$207

Average discount available for prompt cash payment at this facility.

Insurance Median
$415

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: $207 (194%)
Insurance Median: $415 (389%)
Cash: $207 (194% of Medicare)
Ins. Median: $415 (389% 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 389% of the Medicare baseline (a markup of 289%). 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
Health First Health Plan $67 - $246 63%
Molina Healthcare $70 - $926 66%
Humana $71 - $827 66%
Aetna $73 - $910 68%
Amerigroup $73 - $827 68%
Sunshine Health Plan $73 - $868 68%
UnitedHealthcare $73 - $827 68%
Corizon Health $109 102%
Florida Healthcare Plans $261 244%
Cigna $318 - $341 298%
Disney Cruise Line $496 464%
Prime Heath Services, Inc. $620 580%
Multiplan $662 620%
Florida Blue $671 - $742 628%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8745 N Wickham Rd, Melbourne, FL 32940
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals