CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Kosciusko Community Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $176
  • Cash Discount Price: $81
  • vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Kosciusko Community Hospital is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $81. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.65x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$81

Average discount available for prompt cash payment at this facility.

Insurance Median
$176

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: $81 (76%)
Insurance Median: $176 (165%)
Cash: $81 (76% of Medicare)
Ins. Median: $176 (165% 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
Amish Aid $15 - $583 14%
Self Pay $15 - $1,083 14%
Lutheran Preferred Network $23 - $2,221 22%
Physicians Health Plan $27 - $1,279 25%
Php Freedom Network $28 - $1,072 26%
UnitedHealthcare $28 - $1,460 26%
Encore $29 - $1,110 27%
Trma Inc $29 - $1,249 27%
Aetna $30 - $1,477 28%
Connecticut General Life Insurance Company $43 - $1,635 40%
Cigna $46 - $1,754 43%
First Health Network $55 - $2,082 51%
Prime Health Services $55 - $2,082 51%
Advantage Health $61 - $2,304 57%
Private Healthcare Systems $63 - $2,387 59%
Sagamore $64 - $2,609 60%
Encore Health Network $68 - $2,582 64%
Veterans Eval Services $73 - $98 68%
One Call Care Diagnostics Wc $101 95%
Tricare $105 98%
Department Of Veterans Affairs $111 104%
Blue Cross Blue Shield $117 - $455 110%
Humana $117 - $256 110%
Medicare (plans) $117 110%
Mhs $117 - $256 110%
Iu Health $118 110%
Node Non Par Hospice Agree $118 110%
Node Va $118 110%
Node Devoted Health Mcr Adv $119 111%
In Dept Of Correction $123 115%
Node Pphp Mcr Adv $124 116%
Us Department Of Labor $148 139%
Lutheran Advanced Network $178 167%
Lutheran Preferred $178 - $237 167%
Align In Work Comp $190 178%
One Call Work Comp $190 178%
Caresource $197 - $256 184%
Encore Work Comp In $213 199%
Managed Health Services Exchange $237 222%
Workers Comp $237 222%
Managed Health Services $256 240%
Medicaid / KanCare $256 240%
Encore Kba Epo $284 266%
Encore Kba Ppo $355 332%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals