CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Atrium Health Floyd Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $308
Cash Discount Price: $790
vs. Medicare Baseline: 2.88x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Atrium Health Floyd Medical Center is $308. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $790. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.88x the Medicare baseline. Located in 304 Turner McCall Boulevard, Rome, GA.

Cash / Self-Pay

$790

Average discount available for prompt cash payment at this facility.

Insurance Median

$308

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: $790 (740%)

Insurance Median: $308 (288%)

Cash: $790 (740% of Medicare)

Ins. Median: $308 (288% 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 288% of the Medicare baseline (a markup of 188%). 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	$104 - $1,179	97%
Caresource	$104 - $270	97%
Cigna	$104 - $947	97%
Georgia Assurance	$104	97%
Humana	$104 - $1,026	97%
UnitedHealthcare	$104 - $1,184	97%
Aetna	$105 - $1,074	98%
Wellcare	$106	99%
Clover	$107	100%
Alliant Health Plans	$155 - $632	145%
Ambetter / Centene	$155	145%
Occunet	$207	194%
Amerigroup	$267	250%
Peach State Health Plan	$270	253%
Awc Networks	$308	288%
Oscar Health Plan	$308 - $553	288%
Beacon	$790	740%
Evernorth	$790	740%
Multiplan	$1,105	1035%
Beech Street	$1,232	1153%
Private Health Care Systems	$1,342	1256%

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 $790.
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 Atrium Health Floyd 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.