CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Medical Center of the Rockies

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $738
Cash Discount Price: $834
vs. Medicare Baseline: 6.91x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Medical Center of the Rockies is $738. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $834. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.91x the Medicare baseline. Located in 2500 Rocky Mountain Ave, Loveland, CO.

Cash / Self-Pay

$834

Average discount available for prompt cash payment at this facility.

Insurance Median

$738

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: $834 (781%)

Insurance Median: $738 (691%)

Cash: $834 (781% of Medicare)

Ins. Median: $738 (691% 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 691% of the Medicare baseline (a markup of 591%). 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	$64 - $741	60%
Aetna	$107 - $986	100%
Cigna	$107 - $913	100%
Cms	$107	100%
Devoted Health	$107	100%
Humana	$107	100%
Kaiser	$107	100%
Select Health	$107 - $508	100%
UnitedHealthcare	$107 - $986	100%
Simplified Benefits Administration	$451 - $969	422%
First Health	$703	658%
Denver Health Medical Plan	$930	871%
Midlands Choice	$1,073	1005%
Rocky Mountain Health Plans	$1,073	1005%
Multiplan	$1,085	1016%
Phcs	$1,085	1016%
First Choice Of The Midwest	$1,156	1082%

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 $834.
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 Medical Center of the Rockies 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.