CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Marshall Browning Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $420
  • Cash Discount Price: $865
  • vs. Medicare Baseline: 3.93x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Marshall Browning Hospital is $420. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $865. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.93x the Medicare baseline. Located in 900 North Washington Street, Du Quoin, IL.
Cash / Self-Pay
$865

Average discount available for prompt cash payment at this facility.

Insurance Median
$420

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: $865 (810%)
Insurance Median: $420 (393%)
Cash: $865 (810% of Medicare)
Ins. Median: $420 (393% 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 393% of the Medicare baseline (a markup of 293%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $249 - $979 233%
Blue Cross Blue Shield $249 - $1,130 233%
Meridian Hp Mcaid - All Plans $249 233%
Molina Mcaid - All Plans $249 233%
Health Alliance Mcr Adv $420 393%
Humana $420 393%
UnitedHealthcare $420 - $1,075 393%
Wellcare Mcr Adv - All Plans $420 393%
Healthlink Hmo - All Other Plans $865 810%
Healthlink Ppo $865 810%
Cigna $920 861%
Health Alliance - All Other Plans $1,051 984%
Multiplan/Phcs - All Plans $1,112 1041%
Zelis - All Plans $1,112 1041%
Hope Trust - All Plans $1,471 1377%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 900 North Washington Street, Du Quoin, IL 62832
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals