CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Mary Bridge Children's Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $574
Cash Discount Price: $608
vs. Medicare Baseline: 5.37x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Mary Bridge Children's Hospital is $574. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $608. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.37x the Medicare baseline. Located in 317 Martin Luther King Jr W Box 5299, Tacoma, WA.

Cash / Self-Pay

$608

Average discount available for prompt cash payment at this facility.

Insurance Median

$574

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: $608 (569%)

Insurance Median: $574 (537%)

Cash: $608 (569% of Medicare)

Ins. Median: $574 (537% 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 537% of the Medicare baseline (a markup of 437%). 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
Molina	$78 - $219	73%
Community Health Plan Of Washington	$84 - $246	79%
Coordinated Care	$84	79%
UnitedHealthcare	$84 - $971	79%
Wellpoint	$84	79%
Aetna	$122 - $727	114%
Regence	$122 - $596	114%
Wellcare	$124	116%
Premera	$200 - $505	187%
Ambetter / Centene	$277	259%
Pacificsource	$551 - $555	516%
Uniform Medical	$592	554%
First Choice	$880 - $1,306	824%
Kaiser	$1,031	965%
First Health	$1,081 - $1,351	1012%
Multiplan/Phcs	$1,081 - $1,351	1012%
Cigna	$1,100 - $1,410	1030%

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 $608.
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 Mary Bridge Children's 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.