CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Goshen Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $103
  • Cash Discount Price: $658
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Goshen Hospital is $103. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $658. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.96x the Medicare baseline. Located in 200 High Park Ave, Goshen, IN.
Cash / Self-Pay
$658

Average discount available for prompt cash payment at this facility.

Insurance Median
$103

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: $658 (616%)
Insurance Median: $103 (96%)
Cash: $658 (616% of Medicare)
Ins. Median: $103 (96% 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.

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
Advantage Health Solutions $103 96%
Aetna $103 96%
Atrio Health Plans $103 96%
Bc Federal Employee $103 96%
Bc Mcr Advantage Ppo $103 96%
Blue Cross Blue Shield $103 - $348 96%
Buckeye Health Plan $103 96%
Cigna $103 96%
Coventry Health And Life $103 96%
Emblem Health $103 96%
Freedom Healthcare $103 96%
Geisinger Health Plan $103 96%
Health First $103 96%
Healthspring $103 96%
Humana $103 96%
Iehp Empire Health Plan $103 96%
Independent Care Health Plan $103 96%
Kaiser Permanente $103 96%
Mcr Advantra Freedom $103 96%
Mcr Allwell Mhs $103 96%
Mcr Banner Health $103 96%
Mcr Complete $103 96%
Mcr Complete Ppo $103 96%
Mcr Complete Wellmed $103 96%
Mcr Health Alliance $103 96%
Mcr Health Partners Plans $103 96%
Mcr Medical Mutual Of Ohio $103 96%
Mcr Passport Advantage $103 96%
Mcr Secure Horizons Ppo $103 96%
Mcr Texan Plus $103 96%
Mcr Upmc For Life $103 96%
Medicare (plans) $103 - $109 96%
Meridian Complete $103 96%
Optimum Healthcare $103 96%
Paramount Elite $103 96%
Primetime Health Plan $103 96%
Simply Complete Hmo $103 96%
The Umwa H&R Funds $103 96%
Todays Options Pyramid Life $103 96%
Trillium Advantage $103 96%
Ucare For Seniors $103 96%
Ucare Minnesota $103 96%
UnitedHealthcare $103 - $373 96%
Wellcare $103 96%
Champva $106 99%
Tricare $106 99%
Mcr Devoted Health Plan $109 102%
Mcr Provider Partners Hlth Pln $116 109%
Ambetter / Centene $148 139%
Mkt Caresource $148 139%
Bc Allied $348 326%
All Savers $373 349%
Golden Rule Insurance 2Nd $373 349%
Oxford Health $373 349%
Uhclic $373 349%
Uhss $373 349%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 High Park Ave, Goshen, IN 46526
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals