CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Sunrise Hospital and Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $89
Cash Discount Price: $376
vs. Medicare Baseline: 0.83x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Sunrise Hospital and Medical Center is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $376. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.83x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.

Cash / Self-Pay

$376

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $376 (352%)

Insurance Median: $89 (83%)

Cash: $376 (352% of Medicare)

Ins. Median: $89 (83% 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
United	$18 - $301	17%
Blue Cross Blue Shield	$19 - $175	18%
Humana	$19 - $119	18%
Amerigroup	$22 - $129	21%
Health Plan Nevada	$22 - $136	21%
Molina	$23 - $143	22%
Silver Summit	$23 - $143	22%
Healthcare Partners Of Nv	$25 - $143	23%
Aetna	$26 - $182	24%
Alignment Health Plan	$26 - $106	24%
Caremore	$27 - $111	25%
Multiplan	$27 - $1,051	25%
Community Care Health	$29 - $129	27%
Molina Healthcare	$29 - $134	27%
Sierra Hpn	$29 - $129	27%
Culinary Health Fund	$30 - $159	28%
Hometown Health Providers	$30 - $192	28%
Ambetter / Centene	$31 - $302	29%
Cigna	$32 - $556	30%
Sierra	$34 - $189	32%
Select Health	$52 - $332	49%
Legacy Provider Network	$180	169%
Corvel	$190 - $201	178%
Comp-Med Workers Comp	$194	182%
Olympus Medsave Usa	$200 - $1,080	187%
Prominence Healthfirst	$432	404%
Cmn Global	$605	566%
Nv Health & Welfare Trust	$864	809%
First Health	$950 - $1,152	889%
Medcare International	$1,080	1011%

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 $376.
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 Sunrise Hospital and 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.