CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: St Alexius Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $139
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at St Alexius Medical Center is $139. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.30x the Medicare baseline. Located in 1555 N Barrington Rd, Hoffman Estates, IL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$139

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%)
Insurance Median: $139 (130%)
Ins. Median: $139 (130% 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
Aarp $105 98%
UnitedHealthcare $105 - $112 98%
Aetna $111 - $402 104%
Blue Cross Blue Shield $111 - $402 104%
Covid-19 Uninsured $111 104%
Humana $111 - $422 104%
Medicare (plans) $111 - $114 104%
Molina Healthcare Of Illinois $114 107%
Bright Health $139 130%
Smarthealth $155 145%
Actin Care $172 161%
Ambetter / Centene $180 169%
Cigna $380 - $395 356%
County Care $402 376%
Harmony Health Plan $402 376%
Illinicare $402 376%
Medicaid / KanCare $402 376%
Meridian $402 376%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1555 N Barrington Rd, Hoffman Estates, IL 60169
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals