CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Trident Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $391
Cash Discount Price: $2,171
vs. Medicare Baseline: 3.66x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Trident Medical Center is $391. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,171. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.66x the Medicare baseline. Located in 9330 Medical Plaza Dr, Charleston, SC.

Cash / Self-Pay

$2,171

Average discount available for prompt cash payment at this facility.

Insurance Median

$391

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: $2,171 (2033%)

Insurance Median: $391 (366%)

Cash: $2,171 (2033% of Medicare)

Ins. Median: $391 (366% 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 366% of the Medicare baseline (a markup of 266%). 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
Aetna	$55 - $317	51%
Blue Choice	$92	86%
United	$92 - $977	86%
Select Health	$144	135%
Absolute Total Care	$186 - $391	174%
Sc State Employees	$216	202%
Blue Choice Health Plan	$245	229%
Blue Cross Blue Shield	$245 - $2,062	229%
Nhc Advantage	$412	386%
Pruitt Health	$412	386%
Medcost	$829 - $1,220	776%
Employers Health Network	$977	915%
Occunet	$1,086	1017%
Vocational Rehab	$1,172	1097%
Humana	$1,411 - $1,628	1321%
First Health	$1,585	1484%
Mhnet	$1,628	1524%
Evernorth	$1,737	1626%
Multiplan	$1,845	1727%
Prime Health	$1,845	1727%
Novanet	$1,954	1829%

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 $2,171.
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 Trident 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.