CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Hammond Henry Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $568
Cash Discount Price: $691
vs. Medicare Baseline: 5.32x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Hammond Henry Hospital is $568. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $691. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.32x the Medicare baseline. Located in 600 N College Avenue, Geneseo, IL.

Cash / Self-Pay

$691

Average discount available for prompt cash payment at this facility.

Insurance Median

$568

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: $691 (647%)

Insurance Median: $568 (532%)

Cash: $691 (647% of Medicare)

Ins. Median: $568 (532% 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 532% of the Medicare baseline (a markup of 432%). 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
Quad City Community Hc-All Plans	$53	50%
Geneseo Good Samaritan Village Op Only-All Plans	$167	156%
Tricare	$200	187%
Aetna	$223 - $576	209%
Health Alliance Mcare Adv	$223	209%
UnitedHealthcare	$223 - $568	209%
Humana	$225 - $691	211%
Blue Cross Blue Shield	$261 - $461	244%
Meridian Health Plan-All Plans	$261	244%
Wellmark Of Ia-All Plans	$384	360%
Springfield Armory-All Plans	$499	467%
Ambetter / Centene	$538	504%
Health Alliance-All Other Plans	$576	539%
Multiplan Integrated Hp	$576	539%
Cigna	$591	553%
Multiplan Pponext	$614	575%
Osf Direct Access Network-All Plans	$614	575%
Multiplan-All Other Plans	$653	611%
Corvel-All Plans	$691	647%
Healthsmart Adult-All Other Plans	$691	647%
Healthsmart Pediatric	$691	647%
Hfn-All Plans	$691	647%
Multiplan Beech Street	$691	647%
Multiplan Phcs Adult	$691	647%
Multiplan Phcs Pediatric	$691	647%
Usa Mco-All Plans	$691	647%

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 $691.
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 Hammond Henry 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.