CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Memorial Hospital and Health Care Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $97
  • Cash Discount Price: $110
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Memorial Hospital and Health Care Center is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.91x the Medicare baseline. Located in 800 W 9Th St, Jasper, IN.
Cash / Self-Pay
$110

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

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: $110 (103%)
Insurance Median: $97 (91%)
Cash: $110 (103% of Medicare)
Ins. Median: $97 (91% 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
Blue Cross Blue Shield $21 - $111 20%
Aetna $25 - $154 23%
Caresource In Marketplace $25 - $139 23%
Chamber Care $25 23%
Humana $25 - $111 23%
Mdwise $25 - $101 23%
Mhs Hoosier Care Connect $25 - $101 23%
Tricare $25 - $99 23%
UnitedHealthcare $29 - $334 27%
Immergrun $30 - $118 28%
Ambetter / Centene $32 - $145 30%
Onecare $32 - $128 30%
Siho $32 - $128 30%
Cigna $38 - $154 36%
Sagamore $38 - $154 36%
Noncontracted $40 - $178 37%
Patoka Valley $41 - $138 38%
Encore $43 - $120 40%
Encore Elite + $43 - $267 40%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 W 9Th St, Jasper, IN 47546
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals