CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Bellevue Hospital Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $184
Cash Discount Price: $127
vs. Medicare Baseline: 1.72x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Bellevue Hospital Center is $184. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $127. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.72x the Medicare baseline. Located in 462 First Avenue, New York, NY.

Cash / Self-Pay

$127

Average discount available for prompt cash payment at this facility.

Insurance Median

$184

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: $127 (119%)

Insurance Median: $184 (172%)

Cash: $127 (119% of Medicare)

Ins. Median: $184 (172% 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
Aetna	$21 - $1,131	20%
Healthfirst	$23 - $470	22%
Amidacare	$29 - $209	27%
Emblem	$29 - $648	27%
Wellcare	$31 - $486	29%
Metroplus	$38 - $470	36%
Fidelis	$42 - $470	39%
Oscar	$43 - $446	40%
Blue Cross Blue Shield	$92 - $648	86%
Affinity	$108 - $470	101%
Local 1199	$109 - $689	102%
Centerlight	$123 - $405	115%
Elderplan	$123 - $527	115%
Vaccn	$126	118%
Vnsny	$126 - $689	118%
Centers Plan For Healthy Living	$128 - $131	120%
Hamaspik	$129	121%
Oxford	$132 - $486	124%
United	$132 - $648	124%
Villagecare Max	$191 - $689	179%
Cigna	$203 - $608	190%
Carelon	$209 - $527	196%
Senior Whole Health	$209	196%
United Behavioral Health	$209 - $230	196%
Carelon (Amida Care)	$213	199%
Magnacare	$608	569%
Multiplan	$648	607%

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 $127.
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 Bellevue Hospital 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.