CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Holy Cross Hospital-Jordan Valley

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $461
Cash Discount Price: $389
vs. Medicare Baseline: 4.32x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Holy Cross Hospital-Jordan Valley is $461. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $389. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.32x the Medicare baseline. Located in 3580 West 9000 South, West Jordan, UT.

Cash / Self-Pay

$389

Average discount available for prompt cash payment at this facility.

Insurance Median

$461

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: $389 (364%)

Insurance Median: $461 (432%)

Cash: $389 (364% of Medicare)

Ins. Median: $461 (432% 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 432% of the Medicare baseline (a markup of 332%). 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
Aetna	$64 - $823	60%
Colorado Access	$64	60%
Denver Health	$64	60%
Health Choice	$64	60%
Molina	$64 - $418	60%
Rocky Mountain Health Plan	$64	60%
Uuhp	$64 - $292	60%
Humana	$73	68%
Medicare (plans)	$73	68%
Employer Direct Healthcare	$92	86%
Motivhealth	$97	91%
Blue Cross Blue Shield	$105 - $584	98%
Cigna	$112 - $779	105%
UnitedHealthcare	$154 - $974	144%
Centura Employee Plan	$205	192%
Pehp	$416 - $974	389%
Wise	$506 - $516	474%
Deseret Mutual Benefit Administrators	$598	560%
Select Health	$644	603%
Multiplan	$672 - $886	629%
Emi Health	$974	912%

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 $389.
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 Holy Cross Hospital-Jordan Valley 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.