CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: University Health System, Inc

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $103
Cash Discount Price: $152
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at University Health System, Inc is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.96x the Medicare baseline. Located in 1924 Alcoa Highway, Knoxville, TN.

Cash / Self-Pay

$152

Average discount available for prompt cash payment at this facility.

Insurance Median

$103

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: $152 (142%)

Insurance Median: $103 (96%)

Cash: $152 (142% of Medicare)

Ins. Median: $103 (96% 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
Humana	$22 - $97	21%
UnitedHealthcare	$22 - $424	21%
Aetna	$25 - $424	23%
Blue Cross Blue Shield	$25 - $388	23%
Bluecare	$25 - $27	23%
Choicecare	$25 - $35	23%
Cigna	$25 - $460	23%
Nhc	$25 - $103	23%
Wellcare	$25	23%
American Health	$26 - $103	24%
Upmc Health Plan	$26	24%
Tenncare	$27	25%
Coventry	$35 - $424	33%
First Health	$39	37%
Multiplan	$39 - $364	37%
Initial Group	$40	37%
Novanet	$47	44%
Beechstreet	$48 - $454	45%
Wellpoint	$99 - $103	93%
Devoted Health	$101	95%
Wellcare-Windsor Medadv	$102	95%
Medicare (plans)	$103 - $104	96%
Fentress County Sheriffs Dept	$242	227%
Nx Health	$364	341%
Phcs	$364	341%
Naphcare	$394	369%
Prime Health	$454 - $606	425%
Seven Corners	$454	425%
Usa	$485	454%
Evolutions	$545	510%
Galaxy	$545	510%
Healthsmart	$545	510%

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 $152.
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 University Health System, Inc 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.