CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Renown Regional Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $142
Cash Discount Price: $972
vs. Medicare Baseline: 1.33x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Renown Regional Medical Center is $142. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $972. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.33x the Medicare baseline. Located in 1155 Mill Street, Reno, NV.

Cash / Self-Pay

$972

Average discount available for prompt cash payment at this facility.

Insurance Median

$142

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: $972 (910%)

Insurance Median: $142 (133%)

Cash: $972 (910% of Medicare)

Ins. Median: $142 (133% 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.

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	$29 - $437	27%
Molina Healthcare Of Nevada	$29 - $269	27%
Silversummit Healthplan	$29 - $486	27%
Caresource Network Partners	$30 - $131	28%
Hpn	$38 - $168	36%
Hometown Health	$87 - $972	81%
Health Net Federal Services	$153	143%
Naphcare	$171	160%
Integrated Medical Solutions	$211	198%
Cigna	$282	264%
Aetna	$293 - $313	274%
UnitedHealthcare	$620 - $694	580%
Prominence Health First	$820	768%

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 $972.
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 Renown Regional Medical Center 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.