CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Ucf Lake Nona Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $1,322
Cash Discount Price: $4,721
vs. Medicare Baseline: 12.38x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Ucf Lake Nona Hospital is $1,322. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,721. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.38x the Medicare baseline. Located in 6700 Lake Nona Blvd, Orlando, FL.

Cash / Self-Pay

$4,721

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,322

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: $4,721 (4420%)

Insurance Median: $1,322 (1238%)

Cash: $4,721 (4420% of Medicare)

Ins. Median: $1,322 (1238% 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 1238% of the Medicare baseline (a markup of 1138%). 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 - $2,124	229%
Avmed	$378 - $2,360	354%
Simply	$727	681%
Molina Healthcare	$897 - $1,275	840%
Corvel Corporation	$924	865%
Prime Health	$944	884%
Sunshine State Health Plan	$1,204	1127%
Humana	$1,322	1238%
Aetna	$1,416	1326%
Plotkin Health	$2,360	2210%
Prime Health Sheriff	$2,360	2210%
Novanet	$4,249	3978%

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 $4,721.
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 Ucf Lake Nona 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.