CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Jay Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $160
Cash Discount Price: $105
vs. Medicare Baseline: 1.50x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Jay Hospital is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $105. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.50x the Medicare baseline. Located in 14114 Alabama St, Jay, FL.

Cash / Self-Pay

$105

Average discount available for prompt cash payment at this facility.

Insurance Median

$160

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: $105 (98%)

Insurance Median: $160 (150%)

Cash: $105 (98% of Medicare)

Ins. Median: $160 (150% 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.

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
Wellcare	$23 - $154	22%
Aetna	$70 - $334	66%
Cha Health Plan	$70	66%
Simply Healthcare Healthy Kids	$70	66%
Humana	$73 - $154	68%
Staywell	$73	68%
Sunshine Health	$73	68%
Medicare (plans)	$105	98%
UnitedHealthcare	$107 - $174	100%
Fl Community Care Ltc	$115	108%
Bc Fl	$154	144%
Fl Blue	$224 - $591	210%
Hospice Emerald Coast	$350	328%
Hospice Regency	$350	328%
Hospice Vitas	$350	328%
Cigna	$388 - $700	363%
Private Healthcare	$455	426%
First Health	$496	464%
Wc Corvel	$499 - $665	467%
Multiplan	$623	583%

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 $105.
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 Jay 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.