CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Lewisgale Hospital Alleghany

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $978
Cash Discount Price: $1,812
vs. Medicare Baseline: 9.16x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Lewisgale Hospital Alleghany is $978. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,812. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.16x the Medicare baseline. Located in One Arh Lane - Po Box 7, Low Moor, VA.

Cash / Self-Pay

$1,812

Average discount available for prompt cash payment at this facility.

Insurance Median

$978

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: $1,812 (1696%)

Insurance Median: $978 (916%)

Cash: $1,812 (1696% of Medicare)

Ins. Median: $978 (916% 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 916% of the Medicare baseline (a markup of 816%). 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	$136 - $644	127%
United	$245 - $815	229%
Lifeworks	$344	322%
Universal Healthcare Group	$399	374%
Virginia Health Network	$634 - $1,287	594%
Aetna	$978	916%
Greenvbrier Sporting Club	$1,087	1018%
Corvel	$1,305	1222%
Occunet Workers Comp	$1,450	1358%
Csx Hotels	$1,450	1358%
Health Payors Organization	$1,540	1442%
4Most	$1,631	1527%
Multiplan	$1,631	1527%
American Postal Workers Union	$1,631	1527%
Alleghany Highland Community	$1,631	1527%
C&O Employees Hospital Assn	$1,631	1527%
Community Care Network	$1,631	1527%
One Health Plan	$1,631	1527%

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 $1,812.
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 Lewisgale Hospital Alleghany 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.