CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Mountainview Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $460
Cash Discount Price: $1,884
vs. Medicare Baseline: 4.31x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Mountainview Hospital is $460. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,884. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.31x the Medicare baseline. Located in 3100 N Tenaya Way, Las Vegas, NV.

Cash / Self-Pay

$1,884

Average discount available for prompt cash payment at this facility.

Insurance Median

$460

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: $1,884 (1764%)

Insurance Median: $460 (431%)

Cash: $1,884 (1764% of Medicare)

Ins. Median: $460 (431% 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 431% of the Medicare baseline (a markup of 331%). 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	$27 - $143	25%
Ambetter / Centene	$31 - $490	29%
United	$79 - $509	74%
Aetna	$183	171%
Sierra	$189	177%
Corvel	$201	188%
Olympus Medsave Usa	$211 - $1,751	198%
Select Health	$310 - $538	290%
Prominence Healthfirst	$430 - $700	403%
Cigna	$556	521%
Cmn Global	$602 - $981	564%
Emerging Therapy Solutions	$702 - $1,564	657%
Nv Health & Welfare Trust	$860 - $1,401	805%
Multiplan	$903 - $1,705	845%
First Health	$946 - $1,868	886%
Medcare International	$1,075 - $1,751	1006%

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 $1,884.
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 Mountainview Hospital 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.