CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Camc Greenbrier Valley Medical Center, Inc

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $73
Cash Discount Price: $512
vs. Medicare Baseline: 0.68x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Camc Greenbrier Valley Medical Center, Inc is $73. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $512. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.68x the Medicare baseline. Located in 1320 Maplewood Avenue, Ronceverte, WV.

Cash / Self-Pay

$512

Average discount available for prompt cash payment at this facility.

Insurance Median

$73

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: $512 (479%)

Insurance Median: $73 (68%)

Cash: $512 (479% of Medicare)

Ins. Median: $73 (68% 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
Sentra Health	$15 - $233	14%
Aetna	$18 - $1,140	17%
Blue Cross Blue Shield	$18 - $1,076	17%
Caresource	$18 - $930	17%
The Health Plan	$18 - $1,047	17%
Unicare	$18 - $59	17%
Humana	$19 - $1,047	18%
Multiplan	$19 - $1,012	18%
UnitedHealthcare	$19 - $930	18%
Ally Align	$20 - $112	19%
Clear Spring Health	$20 - $106	19%
Integrated Medical Solutions	$27 - $202	25%
Naphcare	$38 - $213	36%
Greenbrier Resort	$51 - $814	48%
Healthsmart	$58 - $814	54%
Fedmed	$66 - $1,047	62%

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 $512.
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 Camc Greenbrier Valley Medical Center, Inc 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.