CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Veterans Memorial Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $190
  • Cash Discount Price: $252
  • vs. Medicare Baseline: 1.78x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Veterans Memorial Hospital is $190. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $252. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.78x the Medicare baseline. Located in 40 1St Street Se, Waukon, IA.
Cash / Self-Pay
$252

Average discount available for prompt cash payment at this facility.

Insurance Median
$190

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: $252 (236%)
Insurance Median: $190 (178%)
Cash: $252 (236% of Medicare)
Ins. Median: $190 (178% 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
Humana $21 - $332 20%
Aetna $25 - $295 23%
Amerigroup Mcr Adv $25 - $190 23%
Iowa Total Care Exchange $25 - $190 23%
Molina Mcr Adv $25 - $190 23%
Quartz Mcr Adv $25 - $190 23%
Welmark Mcr Adv $25 - $190 23%
Quartz Comm - All Other Plans $65 - $332 61%
Amerigroup Mcaid - All Other Plans $107 - $442 100%
Wellmark Hmo - All Other Plans $117 110%
Wellmark Ppo $128 120%
Iowa Total Care Mcr Adv $190 178%
Medica Mcr Adv $190 178%
UnitedHealthcare $190 - $376 178%
Iowa Total Care Mcaid - All Other Plans $225 - $442 211%
Molina Mcaid - All Other Plans $225 - $442 211%
Medica Comm - All Other Plans $285 267%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 40 1St Street Se, Waukon, IA 52172
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals