CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Metro Nashville General Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $25
  • Cash Discount Price: $491
  • vs. Medicare Baseline: 0.23x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Metro Nashville General Hospital is $25. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $491. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.23x the Medicare baseline. Located in 1818 Albion Street, Nashville, TN.
Cash / Self-Pay
$491

Average discount available for prompt cash payment at this facility.

Insurance Median
$25

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: $491 (460%)
Insurance Median: $25 (23%)
Cash: $491 (460% of Medicare)
Ins. Median: $25 (23% 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
UnitedHealthcare $14 - $25 13%
Corizon $16 15%
Amerigroup $22 21%
Amerivantage $22 21%
Cigna $23 - $25 22%
Aetna $25 - $450 23%
Blue $25 23%
Farm Bureau $25 23%
Humana $25 23%
Medicare (plans) $25 23%
Upmc $25 23%
Wellcare $25 23%
Corecivic $27 25%
Bluecare $33 31%
Tenncare $33 31%
Ambetter / Centene $35 33%
Naphcare $37 35%
Provider Network Of America $42 39%
Blue Cross Blue Shield $108 - $142 101%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1818 Albion Street, Nashville, TN 37208
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals