CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Bay Area Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $337
Cash Discount Price: $369
vs. Medicare Baseline: 3.16x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Bay Area Hospital is $337. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $369. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.16x the Medicare baseline. Located in 1775 Thompson Road, Coos Bay, OR.

Cash / Self-Pay

$369

Average discount available for prompt cash payment at this facility.

Insurance Median

$337

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: $369 (345%)

Insurance Median: $337 (316%)

Cash: $369 (345% of Medicare)

Ins. Median: $337 (316% 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 316% of the Medicare baseline (a markup of 216%). 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
Nasomah Hlth Grp - All Plans	$65 - $526	61%
Pacificsource - All Plans	$93 - $745	87%
Moda Connexus/Synergy	$97 - $780	91%
First Choice - All Plans	$99 - $797	93%
Aetna	$100 - $806	94%
Cigna	$100 - $806	94%
Providence - All Other Plans	$101 - $815	95%
Healthnet Comm- All Other Plans	$103 - $832	96%
Southwest Oregon Ipa - All Plans	$103	96%
UnitedHealthcare	$103 - $832	96%
Healthnet Mcaid	$124	116%
Healthnet Mcr Adv	$134	125%
Moda Hlth Mcr Adv	$137	128%
Moda Beacon - All Other Plans	$337	316%
Blue Cross Blue Shield	$390 - $3,137	365%
Providence Pebb	$480	449%
Ods Ppo/Pos - All Plans	$484	453%

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 $369.
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 Bay Area 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.