CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Athur M Blank Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $984
Cash Discount Price: $1,436
vs. Medicare Baseline: 9.21x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Athur M Blank Hospital is $984. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,436. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.21x the Medicare baseline. Located in 2220 North Druid Hills Road Ne, Atlanta, GA.

Cash / Self-Pay

$1,436

Average discount available for prompt cash payment at this facility.

Insurance Median

$984

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: $1,436 (1344%)

Insurance Median: $984 (921%)

Cash: $1,436 (1344% of Medicare)

Ins. Median: $984 (921% 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 921% of the Medicare baseline (a markup of 821%). 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
Peachstate [43]	$614	575%
Caresource [61]	$631	591%
Amerigroup [102]	$661	619%
Cigna	$949	888%
Blue Cross Blue Shield	$953 - $1,402	892%
United [5]	$953	892%
Ambetter / Centene	$961	900%
Oscar [228]	$962	901%
Aetna	$966	904%
Caresource Marketplace Bronze/Silver/Gold [60]	$976	914%
Kaiser [6]	$978	916%
Sidecar Health [236]	$991	928%
Direct Employer Agreements [72]	$1,005 - $1,221	941%
Coventry [9]	$1,008	944%
Northeast Georgia Heatlh System [808]	$1,077	1008%
Veracity Benefits [809]	$1,077	1008%
First Health [74]	$1,078	1009%
Phcs [93]	$1,221	1143%
Secure Health [340]	$1,221	1143%
Beech Street [71]	$1,292	1210%
Multiplan [92]	$1,407	1317%
Novanet [41]	$1,436	1344%

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 $1,436.
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 Athur M Blank 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.