CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Wellmont Holston Valley Medical Center

Billing Code: 76536 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$108

about 1.0× the $107 Medicare rate · typically $107–$123

modeled estimate · not a bill or quote

What this hospital charges insurers

$121

About the fair price

about $13 over the fair price · 1.1× Medicare

Medicare pays $107 Fair price $108 This hospital $121 Cash price $102 Hospital's list price $677

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $71 Priciest $121

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, thyroid and neck is about $108 (about 1.0× the $107 Medicare rate). Wellmont Holston Valley Medical Center charges insurers about $121, or about $102 in cash — about the fair price. Located in Kingsport, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$58 - $677	54%
Blue Cross Blue Shieldmajor	$46 - $283	43%
Aetnamajor	$99 - $289	93%
Cignamajor	$104 - $365	97%
Humanamajor	$99	93%
Ambetter (Centene)	$216	202%
Amerigroup	$103	96%
Devoted Health	$104	97%
Molina	$104 - $143	97%
Sentara	$99 - $175	93%
WellCare	$105 - $677	98%
+ 4 smaller / regional plans	$99 - $238

Government programs also on file: Medicare.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 102), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76536.

Insurance Before you use insurance

Call your insurance company to confirm Wellmont Holston Valley Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 76536.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Wellmont Holston Valley Medical Center

Compare: Ultrasound, thyroid and neck at other TN hospitals

Insurance negotiated median for the same procedure, sorted lowest first.