CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Brattleboro Memorial Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $105
Cash Discount Price: $654
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Brattleboro Memorial Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $654. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.98x the Medicare baseline. Located in 17 Belmont Ave, Brattleboro, VT.

Cash / Self-Pay

$654

Average discount available for prompt cash payment at this facility.

Insurance Median

$105

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: $654 (612%)

Insurance Median: $105 (98%)

Cash: $654 (612% of Medicare)

Ins. Median: $105 (98% 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.

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
Amerihealth-Caritas	$22 - $93	21%
New Hampshire Healthy Families	$22 - $93	21%
Wellsense	$22 - $112	21%
Blue Cross Blue Shield	$25 - $840	23%
Cigna	$25 - $887	23%
Harvard Pilgrim Health Care	$25 - $812	23%
Martin'S Point	$25 - $105	23%
Mvp Healthcare	$25 - $840	23%
New Hampshire Healthy Families (Wellcare)	$27 - $110	25%
Tufts Health Plan	$66 - $854	62%
UnitedHealthcare	$71 - $887	66%
Humana	$102	95%
Vermont Health Plan	$103 - $836	96%
Multiplan	$112 - $906	105%
Aetna	$247 - $906	231%
Coventry	$247 - $906	231%
Health New England	$906	848%

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 $654.
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 Brattleboro Memorial Hospital 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.