CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Cjw Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $475
Cash Discount Price: $1,339
vs. Medicare Baseline: 4.45x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Cjw Medical Center is $475. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,339. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.45x the Medicare baseline. Located in 7101 Jahnke Road, Richmond, VA.

Cash / Self-Pay

$1,339

Average discount available for prompt cash payment at this facility.

Insurance Median

$475

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: $1,339 (1254%)

Insurance Median: $475 (445%)

Cash: $1,339 (1254% of Medicare)

Ins. Median: $475 (445% 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 445% of the Medicare baseline (a markup of 345%). 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	$81 - $475	76%
United	$245 - $603	229%
Lifeworks	$254	238%
Universal Healthcare Group	$294 - $295	275%
Virginia Health Network	$468 - $870	438%
Cigna	$545 - $572	510%
Greenvbrier Sporting Club	$803	752%
Value Options	$803	752%
Corvel	$963 - $964	902%
Evernorth	$1,070 - $1,071	1002%
Occunet Workers Comp	$1,070 - $1,071	1002%
4Most Health Nework	$1,204 - $1,205	1127%
Multiplan	$1,204 - $1,205	1127%

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 $1,339.
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 Cjw 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.