CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Doctors Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $245
Cash Discount Price: $2,526
vs. Medicare Baseline: 2.29x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Doctors Hospital is $245. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,526. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.29x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.

Cash / Self-Pay

$2,526

Average discount available for prompt cash payment at this facility.

Insurance Median

$245

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: $2,526 (2365%)

Insurance Median: $245 (229%)

Cash: $2,526 (2365% of Medicare)

Ins. Median: $245 (229% 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 229% of the Medicare baseline (a markup of 129%). 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	$39 - $217	37%
Blue Choice	$92	86%
Health One Alliance	$123 - $1,162	115%
Ambetter / Centene	$142	133%
Aetna	$200 - $1,393	187%
United	$245 - $1,137	229%
Prime Health	$267	250%
Rockport United Network	$273	256%
Identity Mco	$279	261%
Amerigroup	$359	336%
Absolute Total Care	$455	426%
Nhc Advantage	$480	449%
Pruitt Health	$480	449%
Peach State	$505	473%
Wellcare	$505	473%
Centurion	$699	654%
Americas 1St Choice	$707	662%
Medcost	$1,266 - $1,614	1185%
Multiplan	$1,516 - $2,274	1419%
Performax	$1,718	1608%
First Health	$1,895	1774%
Employer'S Health Network	$2,021	1892%
Novanet	$2,274	2129%

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 $2,526.
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 Doctors 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.