CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Gunnison Valley Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $191
Cash Discount Price: $429
vs. Medicare Baseline: 1.79x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Gunnison Valley Hospital is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $429. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.79x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$429

Average discount available for prompt cash payment at this facility.

Insurance Median

$191

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: $429 (402%)

Insurance Median: $191 (179%)

Cash: $429 (402% of Medicare)

Ins. Median: $191 (179% 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.

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
Cigna	$24 - $794	22%
Medicare (plans)	$26 - $397	24%
Aetna	$38 - $778	36%
Apostrophe-All Plans	$43 - $729	40%
Medicaid / KanCare	$96 - $148	90%
Gunnison County Sheriff Op & Profee Only	$102 - $416	95%
Ebms Hdhp	$119 - $486	111%
Tetwp Op & Profee Only-All Plans	$119 - $486	111%
U Of Co Transplant-All Plans	$119 - $486	111%
Ebms Ppo Plan-All Other Plans	$139 - $567	130%
Gunnison County Employees-All Other Plans	$159 - $648	149%
Scottish Rites-All Plans	$159 - $648	149%
Elap Employers-All Plans	$169 - $688	158%
Blue Cross Blue Shield	$174 - $710	163%
Multiplan-All Plans	$179 - $753	168%
Rocky Mountain Health-All Plans	$189 - $770	177%
UnitedHealthcare	$189 - $770	177%
Cofinity-All Plans	$191 - $778	179%
Gunnison County Coroner Op Only	$416	389%

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 $429.
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 Gunnison Valley 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.