CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Rush University Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $530
Cash Discount Price: $563
vs. Medicare Baseline: 4.96x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Rush University Medical Center is $530. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $563. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.96x the Medicare baseline. Located in 1653 West Congress Parkway, Chicago, IL.

Cash / Self-Pay

$563

Average discount available for prompt cash payment at this facility.

Insurance Median

$530

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: $563 (527%)

Insurance Median: $530 (496%)

Cash: $563 (527% of Medicare)

Ins. Median: $530 (496% 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 496% of the Medicare baseline (a markup of 396%). 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
Blue Cross Blue Shield	$89 - $1,125	83%
Aetna	$115 - $1,125	108%
Molina Fide-Snp	$117	110%
Meridian Dnsp	$118	110%
Cigna	$135 - $1,125	126%
County Care Mcaid - All Plans	$137	128%
Meridian Mcaid - All Other Plans	$137	128%
Molina Mcaid	$145	136%
Ambetter / Centene	$151	141%
Molina Exch - All Other Plans	$152	142%
UnitedHealthcare	$637 - $1,519	596%
Devoted Mcr Adv - All Plans	$1,125	1053%
Humana	$1,125	1053%
Wellcare Mcr Adv - All Plans	$1,125	1053%
Zing Hlth Mcr Adv - All Plans	$1,192	1116%

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 $563.
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 Rush University Medical Center 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.