CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Hca-Healthone DBA Swedish Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $970
Cash Discount Price: $3,166
vs. Medicare Baseline: 9.08x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Hca-Healthone DBA Swedish Medical Center is $970. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,166. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.08x the Medicare baseline. Located in 501 E Hampden Ave, Englewood, CO.

Cash / Self-Pay

$3,166

Average discount available for prompt cash payment at this facility.

Insurance Median

$970

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: $3,166 (2964%)

Insurance Median: $970 (908%)

Cash: $3,166 (2964% of Medicare)

Ins. Median: $970 (908% 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 908% of the Medicare baseline (a markup of 808%). 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
Blue Cross Blue Shield	$65 - $2,418	61%
Pinnacol Workers Comp	$169	158%
Multiplan	$176 - $2,941	165%
United	$185 - $1,470	173%
Rocky Mountain Health Plan	$245	229%
Cigna	$274 - $2,091	257%
Vail Health	$466 - $497	436%
Kaiser	$613 - $1,055	574%
Bright Health	$919 - $980	860%
Colorado Program For Children With Special Needs	$1,348 - $1,438	1262%
Aetna	$1,618 - $1,725	1515%
Western Plains Community Health	$1,991 - $2,124	1864%
Northcare	$2,145 - $2,287	2008%
Physician Health Partners	$2,145 - $2,287	2008%
Medical Development International	$2,451 - $2,614	2295%
Prime Health	$2,757 - $2,941	2581%

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 $3,166.
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 Hca-Healthone DBA Swedish Medical Center 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.