CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Stanly Regional Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $214
  • Cash Discount Price: $545
  • vs. Medicare Baseline: 2.00x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Stanly Regional Medical Center is $214. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $545. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.00x the Medicare baseline. Located in 301 Yadkin St, Albemarle, NC.
Cash / Self-Pay
$545

Average discount available for prompt cash payment at this facility.

Insurance Median
$214

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: $545 (510%)
Insurance Median: $214 (200%)
Cash: $545 (510% of Medicare)
Ins. Median: $214 (200% 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 200% of the Medicare baseline (a markup of 100%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Alliance $23 - $135 22%
Amerihealth Caritas $23 - $133 22%
Carolina Complete Health $23 - $132 22%
Healthy Blue $23 - $132 22%
Partners $23 - $131 22%
Trillium $23 - $136 22%
UnitedHealthcare $23 - $738 22%
Vaya $23 - $133 22%
Wellcare $23 - $132 22%
Cigna $25 - $872 23%
Aetna $26 - $981 24%
Humana $26 - $103 24%
Ambetter / Centene $48 - $405 45%
Choicecare $53 - $1,024 50%
Blue Cross Blue Shield $66 - $561 62%
Medcost $72 - $1,046 67%
Employers Health Network $482 - $630 451%
Physician Reach Out $545 510%
Magellan $654 612%
Gmmi $708 663%
Quik Trip $708 663%
Carolina Behavioral Health $785 - $872 735%
First Health $981 918%
Healthgram $981 918%
Lifesynch Community Choice Care $1,024 959%
Multiplan $1,024 959%
Private Health Care Systems $1,024 959%
Beechstreet $1,046 979%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 Yadkin St, Albemarle, NC 28001
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals