CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Sentara Halifax Regional Hospital

Billing Code: 76536 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$132

about 1.2× the $107 Medicare rate · typically $108–$245

modeled estimate · not a bill or quote

What this hospital charges insurers

$131

About the fair price

about $1 under the fair price · 1.2× Medicare

Medicare pays $107 Fair price $132 This hospital $131 Cash price $523 Hospital's list price $1,046

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $101 Priciest $131

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, thyroid and neck is about $132 (about 1.2× the $107 Medicare rate). Sentara Halifax Regional Hospital charges insurers about $131, or about $523 in cash — about the fair price. Located in South Boston, VA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$108 - $153	101%
Blue Cross Blue Shieldmajor	$108 - $365	101%
Humanamajor	$106	99%
Sentara	$105	98%

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 523), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76536.

Insurance Before you use insurance

Call your insurance company to confirm Sentara Halifax Regional Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 76536.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Sentara Halifax Regional Hospital

Compare: Ultrasound, thyroid and neck at other VA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.