CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Humboldt County Memorial Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $273
Cash Discount Price: $316
vs. Medicare Baseline: 2.56x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Humboldt County Memorial Hospital is $273. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $316. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.56x the Medicare baseline. Located in 1000 North 15Th Street, Humboldt, IA.

Cash / Self-Pay

$316

Average discount available for prompt cash payment at this facility.

Insurance Median

$273

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: $316 (296%)

Insurance Median: $273 (256%)

Cash: $316 (296% of Medicare)

Ins. Median: $273 (256% 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 256% of the Medicare baseline (a markup of 156%). 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
Great West	$246	230%
Aetna	$249 - $263	233%
Health Partners	$249 - $281	233%
Physicians Mutual	$253	237%
Cigna	$263	246%
Phcs	$263	246%
Blue Cross Blue Shield	$273 - $305	256%
Humana	$273 - $298	256%
Iowa Health	$273	256%
Molina	$273 - $351	256%
Deanhealth	$281	263%
UnitedHealthcare	$337	316%
Wellpoint	$337 - $351	316%
Iowa Total Care	$351	329%

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 $316.
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 Humboldt County Memorial Hospital 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.