CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Iowa Specialty Hospital - Belmond

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $155
Cash Discount Price: $183
vs. Medicare Baseline: 1.45x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Iowa Specialty Hospital - Belmond is $155. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $183. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.45x the Medicare baseline. Located in 403 First Street Se, Belmond, IA.

Cash / Self-Pay

$183

Average discount available for prompt cash payment at this facility.

Insurance Median

$155

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: $183 (171%)

Insurance Median: $155 (145%)

Cash: $183 (171% of Medicare)

Ins. Median: $155 (145% 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
Aetna	$25 - $461	23%
Tricare	$25 - $155	23%
Triwest Va Choice And Pc3-All Plans	$25 - $155	23%
UnitedHealthcare	$25 - $424	23%
Healthscope Stellar - All Plans	$42 - $256	39%
Health Partners Ish-All Other Plans	$48 - $388	45%
Wellmark Hmo	$49 - $254	46%
Wellmark Ppo-All Other Plans	$55 - $279	51%
Auxiant Clarion Schools-All Plans	$81 - $315	76%
Health Partners Prestage	$93 - $364	87%
Cigna	$238 - $470	223%
Midlands Choice-All Plans	$238 - $470	223%

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 $183.
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 Iowa Specialty Hospital - Belmond 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.