CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Tift Regional Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $146
Cash Discount Price: $91
vs. Medicare Baseline: 1.37x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Tift Regional Medical Center is $146. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $91. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.37x the Medicare baseline. Located in 901 E 18Th Street, Tifton, GA.

Cash / Self-Pay

$91

Average discount available for prompt cash payment at this facility.

Insurance Median

$146

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: $91 (85%)

Insurance Median: $146 (137%)

Cash: $91 (85% of Medicare)

Ins. Median: $146 (137% 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
Wellcare	$32 - $117	30%
Amerigroup	$36 - $134	34%
Medicaid / KanCare	$36 - $134	34%
Peachstate	$38 - $140	36%
Caresource	$40 - $147	37%
Blue Cross Blue Shield	$63 - $595	59%
Va Contract	$74	69%
Humana	$81 - $298	76%
Self Pay 50	$81 - $298	76%
Tricare	$94 - $98	88%
Hospice	$97	91%
Medicare (plans)	$97	91%
UnitedHealthcare	$98 - $503	92%
Aetna	$99 - $514	93%
Clover Health	$99	93%
Pruitt Health Premier	$107	100%
Peach State Health Plan	$110	103%
Health One Alliance	$139 - $143	130%
Caresource Marketplace Exchange	$144 - $148	135%
Misc Commercial Insurance Plans	$146 - $536	137%
Self Pay	$146 - $536	137%
Cigna	$148 - $543	139%
Misc Non Contracted Commercial Plans	$162 - $595	152%
Zelis Network Solutions	$162 - $197	152%
Ga Workers Comp	$329	308%

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 $91.
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 Tift Regional 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.