CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Colleton Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $633
Cash Discount Price: $1,992
vs. Medicare Baseline: 5.93x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Colleton Medical Center is $633. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,992. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.93x the Medicare baseline. Located in 501 Robertson Boulevard, Walterboro, SC.

Cash / Self-Pay

$1,992

Average discount available for prompt cash payment at this facility.

Insurance Median

$633

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: $1,992 (1865%)

Insurance Median: $633 (593%)

Cash: $1,992 (1865% of Medicare)

Ins. Median: $633 (593% 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 593% of the Medicare baseline (a markup of 493%). 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
Blue Choice	$92	86%
United	$92 - $1,098	86%
Select Health	$144	135%
Absolute Total Care	$186 - $372	174%
Sc State Employees	$201 - $216	188%
Blue Choice Health Plan	$318 - $332	298%
Blue Cross Blue Shield	$318 - $1,965	298%
Nhc Advantage	$393	368%
Pruitt Health	$393	368%
Employers Health Network	$931	872%
Value Option	$1,034	968%
Vocational Rehab	$1,117	1046%
Medcost	$1,166 - $1,510	1092%
Aetna	$1,197	1121%
Cigna	$1,336	1251%
Humana	$1,344 - $1,861	1258%
Mhnet	$1,551	1452%
Evernorth	$1,654	1549%
Multiplan	$1,758	1646%
North American Administrators	$1,758	1646%
Prime Health	$1,758	1646%
First Health	$1,861	1742%
Novanet	$1,861	1742%

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 $1,992.
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 Colleton Medical 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.