CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Nell J Redfield Memorial Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $480
Cash Discount Price: $550
vs. Medicare Baseline: 4.49x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Nell J Redfield Memorial Hospital is $480. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $550. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.49x the Medicare baseline. Located in 150 North 200 West, Malad City, ID.

Cash / Self-Pay

$550

Average discount available for prompt cash payment at this facility.

Insurance Median

$480

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: $550 (515%)

Insurance Median: $480 (449%)

Cash: $550 (515% of Medicare)

Ins. Median: $480 (449% 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 449% of the Medicare baseline (a markup of 349%). 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
Regence Bs Mcr	$300 - $347	281%
UnitedHealthcare	$300 - $590	281%
Bc Mcr Adv	$303 - $351	284%
Choicecare Mcr Adv	$303 - $351	284%
Aetna	$306 - $570	286%
Pacificsource Mcr Adv - All Plans	$309 - $358	289%
Bc Comm - All Other Plans	$447	419%
University Of Ut - All Plans	$480 - $556	449%
Choicecare Ppo - All Other Plans	$510 - $590	477%
Town & Country - All Plans	$510 - $590	477%
Brightpath Select Hlth - All Plans	$540 - $625	506%
Regence Bs Comm - All Other Plans	$1,500 - $1,737	1404%

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 $550.
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 Nell J Redfield 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.