CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Northside Hospital Forsyth

Billing Code: 76536 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$206
about 1.9× the $107 Medicare rate · typically $106–$373
modeled estimate · not a bill or quote
What this hospital charges insurers
$253
Above the fair price
about $47 over the fair price · 2.4× Medicare
Medicare pays $107 Fair price $206 This hospital $253 Cash price $863 Hospital's list price $1,150

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $70 Priciest $253

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, thyroid and neck is about $206 (about 1.9× the $107 Medicare rate). Northside Hospital Forsyth charges insurers about $253, or about $863 in cash — above the fair price. Located in Cumming, GA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $206. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $104 - $596 97%
Blue Cross Blue Shieldmajor $104 - $802 97%
Aetnamajor $107 - $782 100%
Cignamajor $165 - $724 154%
Humanamajor $106 - $109 99%
Kaiser Permanentemajor $108 - $331 101%
Ambetter (Centene) $139 - $482 130%
Amerigroup $139 - $164 130%
CareSource $108 - $428 101%
Clover Health $110 103%
Health Net $455 426%
Oscar Health $191 179%
WellCare $108 101%
+ 26 smaller / regional plans $80 - $1,150
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 9 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1200 Northside Forsyth Drive, Cumming, GA 30041
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals