CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Island Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $185
Cash Discount Price: $500
vs. Medicare Baseline: 1.73x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Island Hospital is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $500. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.73x the Medicare baseline. Located in 1211 24Th Street, Anacortes, WA.

Cash / Self-Pay

$500

Average discount available for prompt cash payment at this facility.

Insurance Median

$185

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: $500 (468%)

Insurance Median: $185 (173%)

Cash: $500 (468% of Medicare)

Ins. Median: $185 (173% 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
Regence Comm - All Other Plans	$40	37%
Amerigroup Mcaid - All Plans	$78	73%
Coordinated Care Mcaid - All Plans	$86 - $201	81%
Chpw Mcaid - All Plans	$89 - $192	83%
Molina Mcaid - All Plans	$175	164%
Aarp Mcr Adv - All Plans	$180	169%
Humana	$180 - $425	169%
Kaiser Mcr Adv	$180	169%
Samish Indian Health - All Plans	$180	169%
Swinomish Indian Health - All Plans	$180	169%
Tricare	$180	169%
UnitedHealthcare	$180	169%
Aetna	$189 - $475	177%
Regence Mcr Adv	$191	179%
Premera Comm - All Other Plans	$331	310%
Cigna	$400	374%
First Health - All Plans	$425	398%
Multiplan - All Plans	$425	398%

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 $500.
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 Island 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.