CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: St Jude Childrens Research Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $240
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.25x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at St Jude Childrens Research Hospital is $240. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.25x the Medicare baseline. Located in 262 Danny Thomas Place, Memphis, TN.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$240

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%)

Insurance Median: $240 (225%)

Ins. Median: $240 (225% 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 225% of the Medicare baseline (a markup of 125%). 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
UnitedHealthcare	$31 - $796	29%
Blue Cross Blue Shield	$43 - $240	40%
Tenncare Select Hmo	$47	44%
Empower	$54	51%
Home State Health	$89	83%
Medicaid / KanCare	$97	91%
Molina Marketplace Of Ms	$140	131%
Healthcare Connections La	$169	158%
Health Choice - Ok	$213	199%
Healthy Blue	$276	258%
Vantage	$664 - $741	622%
Humana	$719	673%
Aetna	$830	777%
Private Health Care Systems	$885	829%
Ms Physicians Care Network	$940	880%
Baptist Health	$995	932%
Cigna	$995	932%
First Health Ccn	$995	932%
Health Choice	$995	932%
Health Link Mississippi	$995	932%
Healthscope Benefits Inc	$995	932%
Tricare	$1,106	1035%

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 $X.
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 St Jude Childrens Research Hospital 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.