CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Massachusetts General Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $232
Cash Discount Price: $621
vs. Medicare Baseline: 2.17x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Massachusetts General Hospital is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $621. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.17x the Medicare baseline. Located in 55 Fruit Street, Boston, MA.

Cash / Self-Pay

$621

Average discount available for prompt cash payment at this facility.

Insurance Median

$232

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: $621 (581%)

Insurance Median: $232 (217%)

Cash: $621 (581% of Medicare)

Ins. Median: $232 (217% 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 217% of the Medicare baseline (a markup of 117%). 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
Harvard Pilgrim Alternate [120002]	$113	106%
Harvard Pilgrim [120001]	$113	106%
UnitedHealthcare	$113 - $677	106%
Tricare	$120	112%
Tufts Health Plan [170001]	$124	116%
Blue Cross Blue Shield	$126 - $433	118%
Commonwealth Care Alliance [1007]	$126	118%
Elder Services [1037]	$126	118%
Fallon Health [1008]	$126	118%
Humana	$126	118%
Medicare (plans)	$126	118%
Mgb Health Plan [150001]	$126 - $317	118%
Centers Of Excellence [1026]	$158 - $594	148%
Cigna	$441 - $658	413%
International Commercial [140001]	$538 - $677	504%
Aetna	$578	541%
Health New England [1034]	$638	597%
Phcs Multiplan [1022]	$638	597%

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 $621.
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 Massachusetts General 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.