CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: HCA Healthone Mountain Ridge

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $875
Cash Discount Price: $2,760
vs. Medicare Baseline: 8.19x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at HCA Healthone Mountain Ridge is $875. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,760. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.19x the Medicare baseline. Located in 9191 Grant St, Thornton, CO.

Cash / Self-Pay

$2,760

Average discount available for prompt cash payment at this facility.

Insurance Median

$875

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: $2,760 (2584%)

Insurance Median: $875 (819%)

Cash: $2,760 (2584% of Medicare)

Ins. Median: $875 (819% 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 819% of the Medicare baseline (a markup of 719%). 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 - $3,187	61%
Pinnacol Workers Comp	$169	158%
Multiplan	$176 - $3,876	165%
United	$185 - $1,938	173%
Vail Health	$193 - $655	181%
Cigna	$221 - $2,756	207%
Kaiser	$240 - $1,529	225%
Rocky Mountain Health Plan	$245	229%
Life Source Services	$350	328%
Bright Health	$381 - $1,292	357%
Colorado Program For Children With Special Needs	$431 - $1,464	404%
Aetna	$670 - $2,274	627%
Western Plains Community Health	$825 - $2,799	772%
Northcare	$888 - $3,014	831%
Physician Health Partners	$888 - $3,014	831%
Medical Development International	$1,015 - $3,445	950%
Prime Health	$1,142 - $3,876	1069%

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 $2,760.
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 Mountain Ridge 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.