CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Tristar Stonecrest Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $282
Cash Discount Price: $1,045
vs. Medicare Baseline: 2.64x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Tristar Stonecrest Medical Center is $282. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,045. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.64x the Medicare baseline. Located in 200 Stonecrest Boulevard, Smyrna, TN.

Cash / Self-Pay

$1,045

Average discount available for prompt cash payment at this facility.

Insurance Median

$282

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: $1,045 (978%)

Insurance Median: $282 (264%)

Cash: $1,045 (978% of Medicare)

Ins. Median: $282 (264% 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 264% of the Medicare baseline (a markup of 164%). 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	$52 - $107	49%
Humana	$106 - $422	99%
United	$155 - $470	145%
Aetna	$157 - $522	147%
Kentucky Labor Cabinet	$192	180%
Apex Health	$198	185%
Nhc Advantage, Inc.	$198	185%
Pruitt Health (Allyalign)	$198	185%
Cigna	$264 - $341	247%
Bgfh Singlesource	$522 - $888	489%
Employers Health Network	$731	684%
Odom'S Tn Pride Sausage	$783	733%
Multiplan	$940	880%
Beech Street	$961	900%

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 $1,045.
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 Stonecrest 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.