CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: The Women's Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $100
  • Cash Discount Price: $582
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at The Women's Hospital is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $582. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.94x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$582

Average discount available for prompt cash payment at this facility.

Insurance Median
$100

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: $582 (545%)
Insurance Median: $100 (94%)
Cash: $582 (545% of Medicare)
Ins. Median: $100 (94% 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
Chamber Care $25 - $691 23%
Immergrun $30 - $413 28%
Aetna $35 - $657 33%
Blue Cross Blue Shield $35 - $359 33%
Meridian Health Il $35 - $99 33%
Molina Il $35 - $99 33%
Humana $38 - $227 36%
Passport Molina Ky $38 - $227 36%
UnitedHealthcare $38 - $790 36%
Wellcare Ky $38 - $227 36%
Amish $39 - $110 37%
Encorecombined $39 - $691 37%
Encoreprime $39 - $671 37%
Caresource Hip $66 - $101 62%
Caresource In $66 - $101 62%
Mdwise Hip $66 - $101 62%
Mhs Behavioral $66 - $101 62%
Caresource $74 - $99 69%
Iu Health $74 - $494 69%
Mhs $74 - $99 69%
Molina Ky $74 - $99 69%
Molina Ky Dual $74 - $99 69%
Patoka Valley Health Care (80/20 Plan) $74 - $612 69%
Patoka Valley Health Care (90/10 Plan) $74 - $592 69%
Self Pay $84 - $582 79%
Ambetter / Centene $85 - $152 80%
Caresource Marketplace (Just4Me) $96 - $147 90%
One Care $96 - $691 90%
Hst $99 - $147 93%
Alliance Coal $102 - $684 95%
Allied National/Zelis - Freedom Plan $103 - $240 96%
Claimdoc $107 - $143 100%
Cigna $116 - $711 109%
Claritev (Formerly Phcs/Mulitplan) $116 - $681 109%
First Health/Coventry $116 - $731 109%
Healthlink $116 - $839 109%
Sagamore $116 - $711 109%
Hope Trust $118 - $162 110%
Noncontracted $118 - $158 110%
Center Care $143 - $770 134%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals