CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Tennova Healthcare - Clarksville

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $125
  • Cash Discount Price: $267
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Tennova Healthcare - Clarksville is $125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $267. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.17x the Medicare baseline. Located in 651 Dunlop Lane, Clarksville, TN.
Cash / Self-Pay
$267

Average discount available for prompt cash payment at this facility.

Insurance Median
$125

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: $267 (250%)
Insurance Median: $125 (117%)
Cash: $267 (250% of Medicare)
Ins. Median: $125 (117% 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 $52 - $264 49%
Medicaid / KanCare $53 - $344 50%
UnitedHealthcare $53 - $544 50%
Aetna $63 - $198 59%
Veterans Eval Services $95 89%
Amerigroup $98 92%
Tricare $102 95%
Humana $106 - $302 99%
Medicare (plans) $106 99%
Node Windsor Mcr Dual $106 99%
Node Devoted Health Mcr Adv $107 100%
American Health $108 101%
Node Ascension Complete Mcr Adv $108 101%
Node Bluecare Plus Tn Mcr Adv $108 101%
Node Champva $108 101%
Node Farm Bureau Mcr Adv $108 101%
Node Healthspring Mcr Adv $108 101%
Node Hospice Non Par Agree $108 101%
Node Va $108 101%
Node Wellcare Mcr Adv $108 101%
Node Amerigroup Mcr Adv $111 104%
Cigna $114 - $142 107%
Node Nhc Mcr Adv $116 109%
Node Us Dept Of Labor $134 125%
Corvel $152 142%
Rockport Work Comp Tn $152 142%
Novanet Work Comp Tn $156 146%
Prime Health Work Comp Tn $156 146%
Tn Work Comp $160 150%
Ambetter / Centene $199 186%
Node Valenz Access $215 201%
Naphcare $242 227%
Ky Work Comp $261 244%
Self Pay $267 250%
Oscar $294 275%
Wellcare $344 322%
Center Care $893 836%
Correct Care Solutions $1,237 1158%
First Health $1,237 1158%
Multiplan $1,305 1222%
Phcs $1,305 1222%
Prime Health Services $1,305 1222%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 Dunlop Lane, Clarksville, TN 37040
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals