CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Memorial Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $847
Cash Discount Price: $1,411
vs. Medicare Baseline: 7.93x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Memorial Medical Center is $847. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,411. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.93x the Medicare baseline. Located in 701 N First St, Springfield, IL.

Cash / Self-Pay

$1,411

Average discount available for prompt cash payment at this facility.

Insurance Median

$847

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: $1,411 (1321%)

Insurance Median: $847 (793%)

Cash: $1,411 (1321% of Medicare)

Ins. Median: $847 (793% 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 793% of the Medicare baseline (a markup of 693%). 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
Veterans Administration	$79	74%
Blue Cross Blue Shield	$100 - $1,411	94%
Aetna	$110 - $1,072	103%
Health Alliance	$110 - $917	103%
Medicare (plans)	$110 - $1,411	103%
Tricare	$110	103%
UnitedHealthcare	$110 - $875	103%
Humana	$116 - $847	109%
Medicaid / KanCare	$137	128%
Molina	$140	131%
Healthlink	$146 - $889	137%
Commercial Workers Compensation	$305	286%
Illinois Workers Compensation	$321	301%
Current Health Network Ppo	$635	595%
Cigna	$741	694%
Phcs/Multiplan	$762 - $847	713%
6 Degrees Health	$847	793%
Hopetrust	$847	793%
Hst	$847	793%
Magellan	$847	793%
Consociate	$917	859%
Hfn	$917	859%
Preferred Plan	$1,058	991%
Soi Mcfarland	$1,058	991%
Soi Rushville	$1,058	991%
Corvel	$1,129	1057%
Methodist First Choice	$1,129	1057%
Mutual Medical Plans	$1,199	1123%
Liability	$1,411	1321%

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 $1,411.
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 Memorial 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.