CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Smyth County Community Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $144
  • Cash Discount Price: $102
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Smyth County Community Hospital is $144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $102. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.35x the Medicare baseline. Located in 245 Medical Park Drive, Marion, VA.
Cash / Self-Pay
$102

Average discount available for prompt cash payment at this facility.

Insurance Median
$144

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: $102 (95%)
Insurance Median: $144 (135%)
Cash: $102 (95% of Medicare)
Ins. Median: $144 (135% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $79 - $677 74%
UnitedHealthcare $87 - $677 81%
Aetna $102 - $575 95%
Amerigroup $102 - $677 95%
Humana $102 95%
Managed Medicaire $102 95%
Medicare (plans) $102 95%
Sentara Health $102 - $188 95%
United Mine Workers Of America $102 95%
Molina Healthcare $106 - $144 99%
Cigna $107 - $267 100%
Devoted Health Plan $107 100%
Nhc Advantage $107 100%
Optima Health $139 130%
Ambetter / Centene $222 208%
Medcost $237 222%
First Health Coventry $677 634%
Seven Corners, Inc. $677 634%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 245 Medical Park Drive, Marion, VA 24354
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals