CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Gadsden Regional Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $150
  • Cash Discount Price: $635
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Gadsden Regional Medical Center is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $635. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.40x the Medicare baseline. Located in 1007 Goodyear Avenue, Gadsden, AL.
Cash / Self-Pay
$635

Average discount available for prompt cash payment at this facility.

Insurance Median
$150

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: $635 (595%)
Insurance Median: $150 (140%)
Cash: $635 (595% of Medicare)
Ins. Median: $150 (140% 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.

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
Medicaid / KanCare $28 26%
Tricare $91 85%
Blue Cross Blue Shield $92 86%
Humana $92 86%
Medicare (plans) $92 86%
Node Viva Mcr Adv $92 86%
Veterans Eval Services $92 86%
Node Select Health Mcr Adv $93 87%
Amedisys Hospice $94 88%
Cigna $94 - $555 88%
Gadsden Hospice $94 88%
Node Devoted Health Mcr Adv $94 88%
Node Non Par Hospice Agree $94 88%
Node Va $94 88%
Southern Care Hospice $94 88%
UnitedHealthcare $94 - $224 88%
Aetna $95 - $2,194 89%
Node Clover Health Mcr Adv $95 89%
Node Champva $96 90%
Node Wellcare Mcr Adv $96 90%
Node Eon Mcr Adv $97 91%
Prime Health $99 - $3,060 93%
Node Us Dept Of Labor $117 110%
Ambetter / Centene $141 132%
Self Pay $508 - $762 476%
Beech Street $1,525 - $3,092 1428%
American Employee Alliance $1,694 1586%
Multiplan $2,372 - $2,669 2221%
Magellan Behavioral $2,542 2380%
Viva Healthcare $2,542 2380%
First Health $2,965 - $3,421 2776%
Alamed Wc $3,177 2974%
Focus Health $3,241 3034%
Coventry Work Comp Al $3,313 3102%
Work Comp $3,601 3371%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Goodyear Avenue, Gadsden, AL 35903
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals