CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Grady Memorial Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $106
Cash Discount Price: $1,712
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Grady Memorial Hospital is $106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,712. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.99x the Medicare baseline. Located in 80 Jesse Hill, Jr Drive Se, Atlanta, GA.

Cash / Self-Pay

$1,712

Average discount available for prompt cash payment at this facility.

Insurance Median

$106

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: $1,712 (1603%)

Insurance Median: $106 (99%)

Cash: $1,712 (1603% of Medicare)

Ins. Median: $106 (99% 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
Amerigroup	$25 - $278	23%
Caresource	$25 - $255	23%
Peach State	$25 - $255	23%
Aetna	$26 - $762	24%
Ambetter / Centene	$26 - $253	24%
Blue Cross Blue Shield	$26 - $1,370	24%
Cigna	$26 - $1,013	24%
Humana	$26 - $106	24%
Kaiser	$26 - $1,298	24%
Medicare (plans)	$26 - $106	24%
UnitedHealthcare	$26 - $1,233	24%
Vaccn	$26 - $106	24%
Wellcare	$26 - $106	24%
Clear Spring Health	$27 - $111	25%
Clover	$27 - $111	25%
Usp Naphcare	$29 - $1,027	27%
Oscar Health	$36 - $1,113	34%
Multiplan	$1,319	1235%

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 $1,712.
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 Grady Memorial 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.