CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Thomas H Boyd Memorial Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $485
Cash Discount Price: $437
vs. Medicare Baseline: 4.54x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Thomas H Boyd Memorial Hospital is $485. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $437. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.54x the Medicare baseline. Located in 800 School St, Carrollton, IL.

Cash / Self-Pay

$437

Average discount available for prompt cash payment at this facility.

Insurance Median

$485

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: $437 (409%)

Insurance Median: $485 (454%)

Cash: $437 (409% of Medicare)

Ins. Median: $485 (454% 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 454% of the Medicare baseline (a markup of 354%). 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
Aetna	$72 - $712	67%
Blue Cross Blue Shield	$72 - $712	67%
Health Alliance Mcr Adv	$72 - $484	67%
UnitedHealthcare	$72 - $494	67%
Wellcare Mcr Adv-All Plans	$72 - $484	67%
Humana	$73 - $489	68%
Health Alliance-All Other Plans	$87 - $581	81%
Ambetter / Centene	$94 - $630	88%
Cigna	$101 - $677	95%
Multiplan-All Plans	$106 - $712	99%
Healthlink Hmo	$108 - $722	101%
Healthlink Il Only	$108 - $694	101%
Healthlink Ppo-All Other Plans	$122 - $817	114%
Hfn Zelis-All Plans	$129 - $864	121%
Meridian Hp Mcaid-All Plans	$568	532%
Molina Mcaid-All Plans	$568	532%

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 $437.
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 Thomas H Boyd 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.