CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: South Peninsula Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $463
Cash Discount Price: $467
vs. Medicare Baseline: 4.33x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at South Peninsula Hospital is $463. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $467. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.33x the Medicare baseline. Located in 4300 Bartlett St, Homer, AK.

Cash / Self-Pay

$467

Average discount available for prompt cash payment at this facility.

Insurance Median

$463

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: $467 (437%)

Insurance Median: $463 (433%)

Cash: $467 (437% of Medicare)

Ins. Median: $463 (433% 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 433% of the Medicare baseline (a markup of 333%). 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
Liberty Healthshare - All Plans	$53 - $734	50%
UnitedHealthcare	$89 - $965	83%
Premera First - All Plans	$120 - $975	112%
Blue Cross Blue Shield	$140 - $975	131%
Aetna	$167 - $891	156%
Geha - All Plans	$177 - $944	166%
Meritain - All Plans	$177 - $944	166%
Teamsters Emply - All Plans	$177 - $944	166%
Ufcw - All Plans	$177 - $944	166%
Cigna	$187 - $996	175%
Great West - All Plans	$187 - $996	175%
Moda - All Plans	$187 - $996	175%
Multiplan Phcs - All Plans	$187 - $996	175%
Pmcs - All Plans	$187 - $996	175%
First Choice Health - All Plans	$193 - $1,028	181%

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 $467.
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 South Peninsula 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.