CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Hendricks Regional Health

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $155
Cash Discount Price: $85
vs. Medicare Baseline: 1.45x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Hendricks Regional Health is $155. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $85. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.45x the Medicare baseline. Located in 1000 E Main St, Danville, IN.

Cash / Self-Pay

$85

Average discount available for prompt cash payment at this facility.

Insurance Median

$155

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: $85 (80%)

Insurance Median: $155 (145%)

Cash: $85 (80% of Medicare)

Ins. Median: $155 (145% 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.

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	$48 - $456	45%
Humana	$111 - $175	104%
Va Ccn	$111	104%
Caresource Exchange	$113	106%
Medicare (plans)	$113 - $116	106%
Aetna	$114 - $199	107%
UnitedHealthcare	$127 - $151	119%
Encore Encircle Network	$148	139%
Sagamore Health Incumbent Program	$153	143%
Cigna	$157	147%
Sagamorehealth Network	$164	154%
Siho Commercial Network	$170	159%
Multiplan	$187	175%
Encore Health Network	$193	181%
Multiplan/Beech Street	$201	188%
Multiplan/ Complementary	$204	191%
Ambetter / Centene	$221	207%

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 $85.
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 Hendricks Regional Health 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.