CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Jacksonville Memorial Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $758
Cash Discount Price: $1,378
vs. Medicare Baseline: 7.10x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Jacksonville Memorial Hospital is $758. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,378. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.10x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$1,378

Average discount available for prompt cash payment at this facility.

Insurance Median

$758

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: $1,378 (1290%)

Insurance Median: $758 (710%)

Cash: $1,378 (1290% of Medicare)

Ins. Median: $758 (710% 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 710% of the Medicare baseline (a markup of 610%). 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
Blue Cross Blue Shield	$95 - $1,378	89%
Tricare	$99 - $251	93%
Coventry	$100 - $217	94%
Health Alliance	$100 - $937	94%
Humana	$100 - $1,175	94%
Medicare (plans)	$100 - $217	94%
UnitedHealthcare	$105 - $992	98%
Medicaid / KanCare	$214	200%
Molina Healthcare	$214	200%
Corvel/Corcare	$276 - $299	258%
Illinois Workers Compensation	$321 - $477	301%
Commercial Workers Compensation	$454	425%
Health Alliance Mh Employee Plan	$634	594%
Current Health Network	$758 - $1,034	710%
6 Degrees Health	$827	774%
Hope Trust	$827	774%
Hst	$827	774%
Cigna	$955	894%
Aetna	$963 - $1,102	902%
Healthlink	$1,171	1096%
Phcs/Multiplan	$1,240	1161%
Hfn	$1,309	1226%
Liability	$1,378	1290%

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 $1,378.
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 Jacksonville 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.