CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Incline Village Community Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $162
Cash Discount Price: $679
vs. Medicare Baseline: 1.52x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Incline Village Community Hospital is $162. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $679. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.52x the Medicare baseline. Located in 880 Alder Street, Incline Village, NV.

Cash / Self-Pay

$679

Average discount available for prompt cash payment at this facility.

Insurance Median

$162

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: $679 (636%)

Insurance Median: $162 (152%)

Cash: $679 (636% of Medicare)

Ins. Median: $162 (152% 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
Medicare (plans)	$26 - $463	24%
UnitedHealthcare	$27 - $1,069	25%
Healthnet - All Plans	$35 - $1,129	33%
Blue Cross Blue Shield	$61 - $1,069	57%
Ca Hlth And Wellness - All Plans	$139 - $1,212	130%
Aetna	$149 - $1,045	140%
Prominence Healthfirst - All Plans	$149 - $1,045	140%
Admar Multiplan - All Plans	$152 - $1,069	142%
First Health - All Plans	$152 - $1,069	142%
Great West/One Health - All Plans	$152 - $1,069	142%
Hometown Hp - All Plans	$152 - $1,069	142%
Humana	$152 - $1,069	142%
Interplan - All Plans	$152 - $1,069	142%
Multiplan - All Plans	$152 - $1,069	142%
Phcs - All Plans	$152 - $1,069	142%
Cigna	$155 - $1,093	145%
Beech Street/Capp Care - All Plans	$161 - $1,129	151%
Uhn - All Plans	$161 - $1,129	151%
Sierra Health - All Plans	$164 - $1,152	154%

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 $679.
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 Incline Village Community 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.