CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Harrison Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $770
Cash Discount Price: $540
vs. Medicare Baseline: 7.21x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Harrison Medical Center is $770. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $540. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.21x the Medicare baseline. Located in 1800 Nw Myhre Rd, Silverdale, WA.

Cash / Self-Pay

$540

Average discount available for prompt cash payment at this facility.

Insurance Median

$770

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: $540 (506%)

Insurance Median: $770 (721%)

Cash: $540 (506% of Medicare)

Ins. Median: $770 (721% 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 721% of the Medicare baseline (a markup of 621%). 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
Chpw	$124	116%
Kaiser	$124 - $504	116%
UnitedHealthcare	$125	117%
Blue Cross Blue Shield	$128 - $477	120%
Aetna	$128 - $1,076	120%
Wellcare	$130	122%
Humana	$133	125%
United	$134 - $1,040	125%
Molina	$134 - $285	125%
Sound Family Medicine	$248	232%
Coordinated Care	$290	272%
Uniform Medical Plan	$304	285%
Cigna	$499 - $770	467%
First Choice	$893	836%
Multiplan	$1,101	1031%

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 $540.
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 Harrison Medical Center 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.