CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Tristar Centennial Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $422
Cash Discount Price: $1,688
vs. Medicare Baseline: 3.95x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Tristar Centennial Medical Center is $422. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,688. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.95x the Medicare baseline. Located in 2300 Patterson Street, Nashville, TN.

Cash / Self-Pay

$1,688

Average discount available for prompt cash payment at this facility.

Insurance Median

$422

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: $1,688 (1580%)

Insurance Median: $422 (395%)

Cash: $1,688 (1580% of Medicare)

Ins. Median: $422 (395% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 395% of the Medicare baseline (a markup of 295%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$55 - $107	51%
Humana	$106 - $1,097	99%
United	$155 - $760	145%
Aetna	$157 - $844	147%
Cigna	$264 - $1,350	247%
Kentucky Labor Cabinet	$311	291%
Apex Health	$321	301%
Nhc Advantage, Inc.	$321	301%
Pruitt Health (Allyalign)	$321	301%
Tennessee Donor Services	$457	428%
Centurion	$695	651%
Emerging Therapy Solutions	$827 - $1,131	774%
Bgfh Singlesource	$844 - $1,435	790%
Value Option	$844	790%
Multiplan	$928	869%
Southern Health Partners	$1,013	948%
Employers Health Network	$1,182	1107%
Mhnet	$1,266	1185%
Odom'S Tn Pride Sausage	$1,266	1185%
Compsych	$1,350	1264%
Beech Street	$1,485	1390%
Prime Health	$1,485	1390%
UnitedHealthcare	$1,502 - $1,688	1406%

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 $1,688.
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 Tristar Centennial Medical Center 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.