CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Northern Nevada Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $696
Cash Discount Price: $1,101
vs. Medicare Baseline: 6.52x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Northern Nevada Medical Center is $696. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,101. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.52x the Medicare baseline. Located in 2375 E Prater Way, Sparks, NV.

Cash / Self-Pay

$1,101

Average discount available for prompt cash payment at this facility.

Insurance Median

$696

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: $1,101 (1031%)

Insurance Median: $696 (652%)

Cash: $1,101 (1031% of Medicare)

Ins. Median: $696 (652% 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 652% of the Medicare baseline (a markup of 552%). 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
Humana	$114 - $1,552	107%
Blue Cross Blue Shield	$129	121%
Smart_Choice	$129	121%
Silver_Summit	$132	124%
Molina	$133	125%
United_Healthcare	$252	236%
Prominence	$426 - $696	399%
Sierra_Health_Options	$443 - $724	415%
Cigna	$449 - $1,058	420%
Nevada_Preferred_Providers	$554 - $905	519%
Aetna	$566 - $1,404	530%
Business_Coalition	$1,223 - $1,997	1145%
Multiplan	$1,505 - $2,458	1409%

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 $1,101.
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 Northern Nevada 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.