CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Ochsner Choctaw General

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $135
Cash Discount Price: $191
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Ochsner Choctaw General is $135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $191. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.26x the Medicare baseline. Located in 401 Vanity Fair Lane, Po Box 618, Butler, AL.

Cash / Self-Pay

$191

Average discount available for prompt cash payment at this facility.

Insurance Median

$135

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: $191 (179%)

Insurance Median: $135 (126%)

Cash: $191 (179% of Medicare)

Ins. Median: $135 (126% 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
Humana	$20 - $196	19%
Blue Cross Blue Shield	$26 - $341	24%
Prime Health Services Ppo	$28 - $294	26%
UnitedHealthcare	$33 - $202	31%
Cigna	$43 - $202	40%
Aetna	$44 - $239	41%
Primewell Health Services Commercial Exchange Plan	$47 - $247	44%
Primewell Health Services – Commercial	$47 - $247	44%
Claritev D/B/A Multiplan/Phcs/American Life Care	$60 - $276	56%
Magnolia Health Plan – Wellcare By All Well Of Mississippi	$60 - $196	56%
Medicare (plans)	$60 - $225	56%
Ambetter / Centene	$61 - $167	57%
Shared Health Mississippi	$63 - $206	59%
Select Administrative Services Network	$70 - $258	66%
Zelis	$77 - $279	72%
Medicaid / KanCare	$81 - $94	76%
Prime Health Services Ppo -Workers Comp	$107 - $294	100%
Cor Vel	$109 - $300	102%

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 $191.
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 Ochsner Choctaw General 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.