CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Albany Medical Center Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $86
  • Cash Discount Price: $94
  • vs. Medicare Baseline: 0.81x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Albany Medical Center Hospital is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.81x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.
Cash / Self-Pay
$94

Average discount available for prompt cash payment at this facility.

Insurance Median
$86

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: $94 (88%)
Insurance Median: $86 (81%)
Cash: $94 (88% of Medicare)
Ins. Median: $86 (81% 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.

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
Cdphp $17 - $417 16%
Blue Cross Blue Shield $19 - $417 18%
Medicare (plans) $19 - $117 18%
Fidelis $20 - $417 19%
Tricare $21 - $101 20%
Blue Shield Highmark $24 - $315 22%
Hamaspik $24 - $436 22%
Medicaid / KanCare $24 - $103 22%
UnitedHealthcare $24 - $1,115 22%
Mvp $25 - $192 23%
Aetna $26 - $329 24%
Empire Plan Nyship $26 - $1,115 24%
Multiplan $27 - $1,185 25%
Emblem Health Ghi $28 - $223 26%
Nascentia $28 - $111 26%
Blue Shield $32 - $216 30%
Cigna $40 - $192 37%
Nys Department Of Corrections $62 - $248 58%
Nascentia Health Options $156 146%
Emblem $161 - $265 151%
Emblem_Ghi $265 248%
Magnacare $268 251%
Mvp Commercial $277 259%
Mvp Essential Plan $399 374%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 43 New Scotland Avenue, Mail Code 34, Albany, NY 12208
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals