CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Sycamore Shoals Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $128
  • Cash Discount Price: $102
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Sycamore Shoals Hospital is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.20x the Medicare baseline. Located in 1501 West Elk Avenue, Elizabethton, TN.
Cash / Self-Pay
$102

Average discount available for prompt cash payment at this facility.

Insurance Median
$128

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: $102 (95%)
Insurance Median: $128 (120%)
Cash: $102 (95% of Medicare)
Ins. Median: $128 (120% 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.

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 Cross Blue Shield $46 - $397 43%
UnitedHealthcare $87 - $677 81%
Aetna $95 - $432 89%
Amerigroup $95 - $106 89%
Humana $95 89%
Managed Medicaire $95 89%
Medicare (plans) $95 89%
Sentara Health $95 - $188 89%
United Mine Workers Of America $95 89%
Molina Healthcare $99 - $156 93%
Cigna $100 - $267 94%
Devoted Health Plan $100 94%
Nhc Advantage $100 94%
Wellcare $101 - $677 95%
Optima Health $150 140%
Ambetter / Centene $207 194%
Medcost $237 222%
First Health Coventry $508 476%
Seven Corners, Inc. $677 634%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1501 West Elk Avenue, Elizabethton, TN 37643
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals