CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: St Francis Hospital & Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $60
  • Cash Discount Price: $295
  • vs. Medicare Baseline: 0.56x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at St Francis Hospital & Medical Center is $60. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $295. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.56x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$295

Average discount available for prompt cash payment at this facility.

Insurance Median
$60

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: $295 (276%)
Insurance Median: $60 (56%)
Cash: $295 (276% of Medicare)
Ins. Median: $60 (56% 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.

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
Aetna $16 - $281 15%
Albany County Correctional Facility $16 - $60 15%
Ambetter / Centene $16 - $60 15%
Amish Mennonite $16 - $60 15%
Ascension St. Vincent Public Safety Medical $16 - $60 15%
Bcccp-Michigan $16 - $60 15%
Bccp $16 - $60 15%
Blue Cross Blue Shield $16 - $436 15%
Bmc Healthnet $16 - $60 15%
Breast Grant-Connecticut $16 - $60 15%
Broward County Dept of Health $16 - $60 15%
California Health and Wellness $16 - $60 15%
Can Community Health Inc $16 - $60 15%
Cardinal Innovations Lme $16 - $60 15%
Care Connections of Northern Iowa $16 - $60 15%
Care Oregon Ohp $16 - $60 15%
Cencal Health Plan $16 - $60 15%
Cenpatico $16 - $60 15%
Chhuny $16 - $60 15%
Childrens Comm Health Plan $16 - $60 15%
Childrens Medical Services Title 19 $16 - $60 15%
Cigna $16 - $791 15%
City of Philadelphia $16 - $60 15%
Cmh Allegan County $16 - $60 15%
Cmh Ausable Valley $16 - $60 15%
Cmh Barry County $16 - $60 15%
Cmh Bay-Arenac County $16 - $60 15%
Cmh Berrien County $16 - $60 15%
Cmh Cass County $16 - $60 15%
Cmh Central Mi County $16 - $60 15%
Cmh Clinton-Eaton-Ingham County $16 - $60 15%
Cmh Detroit Wayne Integrated Health Network $16 - $60 15%
Cmh Genesee County $16 - $60 15%
Cmh Ionia County $16 - $60 15%
Cmh Jackson County/Lifeways $16 - $60 15%
Cmh Kalamazoo $16 - $60 15%
Cmh Kent County $16 - $60 15%
Cmh Lenawee County $16 - $60 15%
Cmh Livingston County $16 - $60 15%
Cmh Macomb $16 - $60 15%
Cmh Misc $16 - $60 15%
Cmh Monroe County $16 - $60 15%
Cmh Montcalm County $16 - $60 15%
Cmh Muskegon County $16 - $60 15%
Cmh Newaygo County $16 - $60 15%
Cmh North Country $16 - $60 15%
Cmh Northern Lakes County $16 - $60 15%
Cmh Oakland County $16 - $60 15%
Cmh Ottawa County $16 - $60 15%
Cmh Van Buren County $16 - $60 15%
Cmh Washtenaw County $16 - $60 15%
Cmh Wayne County/Carelink $16 - $60 15%
Cmh Wayne Cty/Com Liv Svcs $16 - $60 15%
Cmh West Mi County $16 - $60 15%
Community Benefit Health $16 - $60 15%
Community Care Behavorial Health $16 - $60 15%
Community Care Partners $16 - $60 15%
Community Health Choice $16 - $60 15%
Connections Csp $16 - $60 15%
County Coroner $16 - $60 15%
County Funding Generic $16 - $60 15%
Covid19 Hrsa Uninsured Testing and Treatment Fund $16 - $60 15%
Dean Wi Badgercare $16 - $60 15%
Delaware County Department of Health $16 - $60 15%
Delaware First Health $16 - $60 15%
Dph Tb Program $16 - $60 15%
Dscc $16 - $60 15%
Eastpointe Lme $16 - $60 15%
Family Health Network $16 - $60 15%
Freedom First Healthcare $16 - $60 15%
Fresno County Ccs $16 - $60 15%
Ghc Scw Wi Badgercare $16 - $60 15%
Harbor Health $16 - $60 15%
Health Safety Net $16 - $60 15%
Healthy Blue Ne $16 - $60 15%
Hennepin Health $16 - $60 15%
Humana $16 - $114 15%
Id County Ada $16 - $60 15%
Id County Canyon $16 - $60 15%
Id County Cat Fund $16 - $60 15%
Id County Other $16 - $60 15%
Id County Payette $16 - $60 15%
Idaho Dept Health and Wellfare $16 - $60 15%
Idaho Womens Health Check $16 - $60 15%
Indiana Breast Cervical Cancer $16 - $60 15%
Inland Empire Health Plan $16 - $60 15%
Intercommunity Health Ohp $16 - $60 15%
Iowa Total Care $16 - $60 15%
Jai Medical System $16 - $60 15%
Kern Family Health Plan $16 - $60 15%
Keystone First $16 - $60 15%
Keystone First Chip $16 - $60 15%
La Care Health Plan $16 - $60 15%
Lakeland Care Inc $16 - $60 15%
Managed Health Services - Indiana $16 - $60 15%
Maryland Breast & Cervical Program $16 - $60 15%
Maryland Healthy Smiles - Scion Dental $16 - $60 15%
Maryland Physicians Care $16 - $60 15%
Massachusetts Behavioral Health Partnership $16 - $60 15%
Mdwise $16 - $60 15%
Medi-Cal $16 - $60 15%
Medi-Cal Healthnet $16 - $60 15%
Medicaid / KanCare $16 - $295 15%
Medstar Dc Healthy Family $16 - $60 15%
Medstar Md Health Choice $16 - $60 15%
Mo Home State Health Plan $16 - $60 15%
Molina Centennial Care $16 - $60 15%
Nascentia Health Options $16 - $60 15%
Nebraska Total Care $16 - $60 15%
New York Cancer Services Program $16 - $60 15%
Nextlevel Health $16 - $60 15%
Oregon Screenwise $16 - $60 15%
Pace of Southwest Michigan $16 - $114 15%
Paramount Advantage $16 - $60 15%
Parkland Community Health Plan $16 - $60 15%
Partners Behavioral Lme $16 - $60 15%
Peach State Healthplan $16 - $60 15%
Philadelphia County Funding $16 - $60 15%
Presbyterian Centennial Care $16 - $60 15%
Prestige Health Choice $16 - $60 15%
Priority Partners $16 - $60 15%
Robert F Sing Program $16 - $60 15%
Rx 340B Pass Along $16 - $60 15%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $16 - $60 15%
Rx Medi-Cal $16 - $60 15%
Rx Meridian Rx $16 - $60 15%
Ryan White Florida Mssrp $16 - $60 15%
Sandhills Center Lme $16 - $60 15%
Screening for Life $16 - $60 15%
St Joseph County Hlth Dpt $16 - $60 15%
Stephenson Cty Health $16 - $60 15%
Sunshine State Health Plan $16 - $60 15%
Superior Health $16 - $60 15%
Tenncare $16 - $60 15%
Texas Children's Health Plan $16 - $60 15%
Trillium Community Ohp $16 - $60 15%
Tufts Health Public Plans $16 - $60 15%
UnitedHealthcare $16 - $220 15%
Vaya Health Lme $16 - $60 15%
Washtenaw Health Plan $16 - $60 15%
Wellsense Health Plan $16 - $60 15%
Wi Womens Wellness $16 - $60 15%
Health New England $25 - $546 23%
Champva $26 - $110 24%
Tricare $26 - $110 24%
Triwest Health Alliance $26 - $110 24%
Veterans Eval Services $26 - $110 24%
Align Senior Care $27 - $114 25%
Ally Align Care Adv $27 - $114 25%
American Health Advantage of Idaho $27 - $114 25%
American Health Plan $27 - $114 25%
Aurora Special Needs $27 - $114 25%
Blue Care Network Advantage $27 - $114 25%
Blue Shield - De (Highmark) Medciare Advantage $27 - $114 25%
Care Dimensions $27 - $114 25%
Care Improvement Plus $27 - $114 25%
Care Resources Pace $27 - $114 25%
Careplus Health Plans $27 - $114 25%
Cca - Zing Health $27 - $114 25%
Cca Senior Care Options $27 - $125 25%
Central Valley Medical Services Corp Pace $27 - $114 25%
Champion Health Plan McR Advantage $27 - $114 25%
Clear Spring Health $27 - $114 25%
Clover Health $27 - $114 25%
Commonwealth Care Alliance $27 - $116 25%
Community Pace at Home $27 - $114 25%
Eddy Senior Care-Pace $27 - $114 25%
Eddy Seniorcare Pace $27 - $114 25%
Elementcare $27 - $114 25%
Evercare $27 - $114 25%
Everence $27 - $114 25%
Gateway Health Plan $27 - $114 25%
Genesys Pace of Genesee County $27 - $114 25%
Georgia Health Advantage $27 - $114 25%
Gold Advantage $27 - $114 25%
Gpa Croell Redi Mix $27 - $114 25%
Health America Advantra $27 - $114 25%
Highmark Health Options Dual Plan $27 - $114 25%
Hope Select Pace $27 - $114 25%
Horizon Nj Total Care $27 - $114 25%
Hudson Headwaters Pace $27 - $114 25%
Huron Valley Pace $27 - $114 25%
Innovative Integrated Health Community Plans $27 - $114 25%
Iowa Health Advantage $27 - $114 25%
Johns Hopkins Advantage Md $27 - $114 25%
Lasso Healthcare Msa $27 - $114 25%
Life St Marys Pace $27 - $114 25%
Lifecircles Pace $27 - $114 25%
Longevity Health Plan $27 - $114 25%
Longevity IPA of Michigan LLC Health Plan Isnp $27 - $114 25%
Martins Point Generations Advantage $27 - $114 25%
Mass General Brigham McR Adv $27 - $114 25%
Medicare (plans) $27 - $129 25%
Medipak Advantage $27 - $114 25%
Mercy Life $27 - $114 25%
Mercyone Cedar Valley $27 - $114 25%
Meridian Complete $27 - $114 25%
Michigan Complete Health $27 - $114 25%
Nascentia Health Plus $27 - $114 25%
New Centry Health Careplus $27 - $114 25%
Osu Prime Care Advantage $27 - $114 25%
Pace Cny $27 - $114 25%
Pace Iowa Immanuel Pathways $27 - $114 25%
Pace Southeast $27 - $114 25%
Pace-Trinity Health $27 - $114 25%
Peak Pace Solutions $27 - $114 25%
Perennial Advantage $27 - $114 25%
Preferred Care Partners $27 - $114 25%
Presbyterian Senior Plan $27 - $114 25%
Provider Partners Health Plan of Illinois $27 - $114 25%
Provider Partners Health Plan of Indiana $27 - $114 25%
Pruitthealth Premier $27 - $114 25%
Reliance Community Care Partners Care Resources Pace $27 - $114 25%
Rx Allwin $27 - $114 25%
Rx Grane Grnmedd $27 - $114 25%
Rx Retiree Rx Care $27 - $114 25%
Scan Health Plan McR IPA Meritage Oon $27 - $114 25%
Secure Horizons Ma Pffs $27 - $114 25%
Serenity Pace $27 - $114 25%
Siouxland Pace $27 - $114 25%
Solis Health Plans $27 - $114 25%
Sunnyview-Pace Finance Dept $27 - $114 25%
Texan Plus $27 - $114 25%
The Health Plan $27 - $114 25%
Thome Pace $27 - $114 25%
Todays Options $27 - $114 25%
Tribute Health Plans $27 - $114 25%
Um Health Advantage $27 - $114 25%
Union Health Service $27 - $114 25%
Us Family Health Plan $27 - $261 25%
Welbe Health $27 - $114 25%
Wellmed $27 - $114 25%
Veterans Administration $28 - $116 26%
Fallon Health $35 - $248 33%
Mass General Brigham Health Plan $39 - $267 37%
Unicare $44 - $436 41%
Wellpoint $44 - $436 41%
Bcn Domestic $45 - $436 42%
Blue Benefit Administrators of Massachusetts $45 - $436 42%
Blue Care Network $45 - $436 42%
Blue Distinction Transplant $45 - $436 42%
Blue Shield - Ca $45 - $436 42%
Blue Shield - Id (Regence) $45 - $436 42%
Blue Shield - Ny Highmark Northeastern $45 - $436 42%
Blue Shield - Ny Highmark Western $45 - $436 42%
Blue Shield - PA (Highmark) $45 - $436 42%
Blue Shield - Wa (Regence) $45 - $436 42%
Health Choices $45 - $436 42%
Kaiser Domestic $45 - $436 42%
Pre-Employment $45 - $436 42%
Wc Domestic $45 - $436 42%
Connecticare $46 - $340 43%
Claimdoc $48 - $204 45%
Innovative Health Plan II $48 - $263 45%
Health Smart $50 - $841 47%
Wc Corvel $50 - $252 47%
Multiplan $53 - $673 50%
Healthscope $58 - $245 54%
Andrie Inc $59 - $259 55%
Centivo $59 - $268 55%
Coventry $59 - $281 55%
Delta Dental Ga $59 - $297 55%
Delta Dental Mi $59 - $297 55%
Delta Dental Mo $59 - $297 55%
Delta Dental Nj $59 - $297 55%
Delta Dental Ny $59 - $297 55%
Delta Dental Oh $59 - $297 55%
Delta Dental Or $59 - $297 55%
Delta Dental PA $59 - $297 55%
Delta Dental VA $59 - $297 55%
Delta Dental Wa $59 - $297 55%
East Greenbush Central School District $59 - $259 55%
First Health $59 - $281 55%
Genex Wc $59 - $259 55%
Guardian $59 - $281 55%
Harvard Pilgrim Healthcare $59 - $244 55%
Healthsmart Workers Comp $59 - $259 55%
Jag Source $59 - $259 55%
Liberty Dental $59 - $297 55%
Meritain $59 - $281 55%
New York State Insurance Fund $59 - $259 55%
Njm Insurance Group $59 - $259 55%
Prime Health Services $59 - $692 55%
Rx Heatlhcomp $59 - $259 55%
Rx Restat $59 - $259 55%
Rx Saif Opdp Wc $59 - $259 55%
Rx Worker's Comp $59 - $259 55%
Tufts Health Plan $59 - $261 55%
Wc Accident Fund $59 - $259 55%
Wc Ace $59 - $259 55%
Wc Acs Federal Employees $59 - $259 55%
Wc Acuity $59 - $259 55%
Wc Advantage $59 - $259 55%
Wc Aegis $59 - $259 55%
Wc Aig $59 - $259 55%
Wc Aims $59 - $259 55%
Wc Alaska National Ins $59 - $259 55%
Wc Align Network $59 - $259 55%
Wc Allied $59 - $259 55%
Wc Am Trust N America $59 - $259 55%
Wc American Claims Mgmt $59 - $259 55%
Wc Amerisure $59 - $259 55%
Wc Amtrust $59 - $259 55%
Wc Asu Risk Mgt $59 - $259 55%
Wc Benetech $59 - $259 55%
Wc Berkley Admin $59 - $259 55%
Wc Broadspire $59 - $259 55%
Wc Broward County $59 - $259 55%
Wc Bunch & Associates $59 - $259 55%
Wc California State Comp Ins $59 - $259 55%
Wc California State Ins Fund $59 - $259 55%
Wc Capitol Area Health Consortium $59 - $259 55%
Wc Ccmsi $59 - $259 55%
Wc Chartis $59 - $259 55%
Wc Chubb $59 - $259 55%
Wc Cirma $59 - $259 55%
Wc City of Albany $59 - $259 55%
Wc City of Sioux City $59 - $259 55%
Wc Claims Mgmt Inc $59 - $259 55%
Wc Cna $59 - $259 55%
Wc Comp One Admin C/O Manageability $59 - $259 55%
Wc Compone Admin $59 - $259 55%
Wc Ct Healthcare Trust $59 - $259 55%
Wc Donegal Insurance Group $59 - $259 55%
Wc Emc Insurance Company $59 - $259 55%
Wc Employee Mutual $59 - $259 55%
Wc Enablecomp $59 - $259 55%
Wc Encore Health Network $59 - $259 55%
Wc Erie $59 - $259 55%
Wc Esis $59 - $259 55%
Wc Evolutions $59 - $259 55%
Wc Fcci $59 - $259 55%
Wc Fed Ex $59 - $259 55%
Wc Federal Black Lung $59 - $259 55%
Wc Federated $59 - $259 55%
Wc Finley Occupational Health $59 - $259 55%
Wc First Agency/Occunet $59 - $259 55%
Wc Ford Motor $59 - $259 55%
Wc Fresno Unified Emp $59 - $259 55%
Wc Gallagher Bassett $59 - $259 55%
Wc General Motors $59 - $259 55%
Wc Generic $59 - $259 55%
Wc Genex Care for Ohio $59 - $259 55%
Wc Great West Casualty $59 - $259 55%
Wc Guarantee Insurance $59 - $259 55%
Wc Guard Insurance Company $59 - $259 55%
Wc Hab $59 - $259 55%
Wc Hartford $59 - $259 55%
Wc Hastings $59 - $259 55%
Wc Health Management $59 - $259 55%
Wc Heritage Summit $59 - $259 55%
Wc Hireright $59 - $259 55%
Wc Horizon $59 - $259 55%
Wc Icw Group $59 - $259 55%
Wc Idaho State Ins Fund $59 - $259 55%
Wc Intercare Insurance $59 - $259 55%
Wc Intermountain $59 - $259 55%
Wc Johns Eastern $59 - $259 55%
Wc Kemberton $59 - $259 55%
Wc Key Ins & Benefit Solutions $59 - $259 55%
Wc Liberty Mutual $59 - $259 55%
Wc Mac Risk Management $59 - $259 55%
Wc Massachusetts $59 - $259 55%
Wc Mdia $59 - $259 55%
Wc Meadowbrook Claim $59 - $259 55%
Wc Medical Administrators $59 - $259 55%
Wc Meijers $59 - $259 55%
Wc Memic $59 - $259 55%
Wc Mercy Workcare $59 - $259 55%
Wc Michigan $59 - $259 55%
Wc Michigan Millers Mutual $59 - $259 55%
Wc Mitchell Frankenmuth $59 - $259 55%
Wc Mra $59 - $259 55%
Wc Nationwide $59 - $259 55%
Wc Nca Comp $59 - $259 55%
Wc New York $59 - $259 55%
Wc New York Special Funds $59 - $259 55%
Wc North American Rishces $59 - $259 55%
Wc Northeast Health $59 - $259 55%
Wc Notre Dame $59 - $259 55%
Wc Novanet $59 - $259 55%
Wc O'Hara Corp $59 - $259 55%
Wc Occ Health Allen $59 - $259 55%
Wc Ohio Bureau $59 - $259 55%
Wc One Call Medical $59 - $259 55%
Wc Paradigm $59 - $259 55%
Wc Peerless $59 - $259 55%
Wc Pma $59 - $259 55%
Wc Praxis Health Network $59 - $259 55%
Wc Price Chopper $59 - $259 55%
Wc Procura Management $59 - $259 55%
Wc Qualcare $59 - $259 55%
Wc Quiktrip $59 - $259 55%
Wc Reny Company $59 - $259 55%
Wc Rev Claims $59 - $259 55%
Wc Risico $59 - $259 55%
Wc Rural Mutual $59 - $259 55%
Wc Saif Oregon $59 - $259 55%
Wc Secura $59 - $259 55%
Wc Sedgwick $59 - $259 55%
Wc Sentry $59 - $259 55%
Wc Sheakley Unicomp $59 - $259 55%
Wc Smile Lodge $59 - $259 55%
Wc Society $59 - $259 55%
Wc Srs $59 - $259 55%
Wc Taconic (Mro) $59 - $259 55%
Wc Taconic Farms $59 - $259 55%
Wc Travelers $59 - $259 55%
Wc Triad Group $59 - $259 55%
Wc Tristar $59 - $259 55%
Wc Troy Ny $59 - $259 55%
Wc Tyson $59 - $259 55%
Wc Unified Health Services $59 - $259 55%
Wc United Heartland $59 - $259 55%
Wc Us Dept of Labor $59 - $259 55%
Wc Velocity $59 - $259 55%
Wc Walmart $59 - $259 55%
Wc West Bend $59 - $259 55%
Wc West Bend Mutual/Argent $59 - $259 55%
Wc Winnebago Industries $59 - $259 55%
Wc Yankee Trails $59 - $259 55%
Wc York Risk $59 - $259 55%
Wc Zenith $59 - $259 55%
Wc Zurich $59 - $259 55%
Connecticut Dept of Correction $116 109%
Geha $179 168%
1199 National Benefit Fund $214 200%
Allied Benefit Systems $214 200%
Gravie Admin Services $214 200%
Hap $214 200%
Luminare Health $214 200%
Nippon Life Ins $214 200%
Webtpa $214 200%
Allegiance $254 238%
Health Partners $254 238%
Magnacare $254 238%
Allied National Global Care $673 630%
Asrm - Reliance Standard Life Insurance $673 630%
Christian Care Ministry $673 630%
Dean Health $673 630%
Family Life Insurance Company $673 630%
Ghc Scw $673 630%
International Benefit Administrators $673 630%
Lifetime Benefit Solutions $673 630%
Manhattan Life $673 630%
Medi Share $673 630%
Mvp $673 630%
PHCS $673 630%
Pai $673 630%
Pan-American Life $673 630%
Paramount HMO $673 630%
Trinity Health Share $673 630%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT 06105
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals