CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Deaconess Illinois Crossroads

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $158
  • Cash Discount Price: $675
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Deaconess Illinois Crossroads is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $675. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.48x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.
Cash / Self-Pay
$675

Average discount available for prompt cash payment at this facility.

Insurance Median
$158

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: $675 (632%)
Insurance Median: $158 (148%)
Cash: $675 (632% of Medicare)
Ins. Median: $158 (148% 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
Aetna $35 - $2,425 33%
Blue Cross Blue Shield $35 - $1,458 33%
Meridian Health Plan $35 - $111 33%
Molina Healthcare Of Illinois $35 - $112 33%
Wellcare $35 - $111 33%
Humana $73 - $2,395 68%
Mytru Advantage $73 - $111 68%
Umwa $73 - $111 68%
UnitedHealthcare $73 - $1,781 68%
Self-Pay $84 - $675 79%
Cigna $93 - $1,194 87%
Deaconess Onecare $96 - $1,689 90%
Alliance Coal $101 - $183 95%
Care Improvement Plus $113 106%
Alter-Net Medical Services, Inc. $118 - $1,075 110%
Noncontracted $118 - $177 110%
Prime Health Services $179 - $2,303 168%
Guardian Resources, Inc. $201 - $2,579 188%
Healthcare'S Finest Network (Hfn) $203 - $2,610 190%
Medicalcontrol Network Solutions $203 - $2,610 190%
National Provider Network $203 - $2,610 190%
Three Rivers Provider Network $208 - $2,671 195%
Beech Street $210 - $2,702 197%
Hope Trust $316 - $1,075 296%
Wexford Health Sources $1,382 - $2,149 1294%
Encore Prime/Elite/Elite + $1,686 - $1,741 1579%
Encore Combined $1,873 - $1,934 1754%
Great West Healthcare Of Illinois $2,303 2156%
Multiplan - Primary Network - Phcs $2,410 2256%
Healthlink $2,456 - $2,610 2299%
Coventry Healthcare $2,585 2420%
First Health $2,585 2420%
Multiplan - Complementary Network $2,622 2455%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8 Doctors Park Rd, Mount Vernon, IL 62864
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals