CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Wellspan York Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $415
Cash Discount Price: $583
vs. Medicare Baseline: 3.89x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Wellspan York Hospital is $415. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $583. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.89x the Medicare baseline. Located in 1001 South George Street, York, PA.

Cash / Self-Pay

$583

Average discount available for prompt cash payment at this facility.

Insurance Median

$415

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: $583 (546%)

Insurance Median: $415 (389%)

Cash: $583 (546% of Medicare)

Ins. Median: $415 (389% 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 389% of the Medicare baseline (a markup of 289%). 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
Medicaid / KanCare	$64 - $182	60%
Johns_Hopkins_Healthcare_Plan	$104 - $693	97%
Medicare (plans)	$104 - $112	97%
Aetna	$107 - $664	100%
Highmark	$156 - $642	146%
Wellspan_Capital_Blue_Cross	$208 - $671	195%
Blue_Cross	$353 - $656	330%
United_Healthcare	$602	564%
Cigna	$608 - $651	569%
First_Health_Network	$632 - $664	592%
Phc	$656	614%
Geisinger	$693	649%
Upmc	$693	649%

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 $583.
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 Wellspan York 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.