CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Memorial Mission Hospital and Asheville Surgery Ce

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $245
Cash Discount Price: $803
vs. Medicare Baseline: 2.29x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Memorial Mission Hospital and Asheville Surgery Ce is $245. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $803. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.29x the Medicare baseline. Located in 509 Biltmore Ave, Asheville, NC.

Cash / Self-Pay

$803

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: $803 (752%)

Insurance Median: $245 (229%)

Cash: $803 (752% 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	$67 - $228	63%
United	$68 - $735	64%
Amerihealth	$69 - $238	65%
Wellcare	$69 - $235	65%
Partners Health Management	$70 - $240	66%
Vaya Health	$70 - $240	66%
Apex Health	$72 - $249	67%
Cigna	$134 - $619	125%
Caresource	$159 - $547	149%
Medcost	$204 - $1,057	191%
Magellan	$217 - $746	203%
Magellan Behavioral Health	$217 - $746	203%
Aetna	$262 - $899	245%
Multiplan	$290 - $995	272%
Avalon Administrative Services	$308 - $1,057	288%
Prime Health	$319 - $1,119	299%

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 $803.
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 Memorial Mission Hospital and Asheville Surgery Ce 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.