CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Rush Memorial Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $109
Cash Discount Price: $151
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Rush Memorial Hospital is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $151. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.02x the Medicare baseline. Located in 1300 N Main St, Rushville, IN.

Cash / Self-Pay

$151

Average discount available for prompt cash payment at this facility.

Insurance Median

$109

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: $151 (141%)

Insurance Median: $109 (102%)

Cash: $151 (141% of Medicare)

Ins. Median: $109 (102% 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	$11 - $2,345	10%
Caresource Marketplace-All Other Plans	$12 - $1,703	11%
Phcs-All Plans	$19 - $2,747	18%
UnitedHealthcare	$19 - $2,747	18%
Humana	$20 - $3,159	19%
Aetna	$22 - $3,159	21%
Consumers Life Ins-All Plans	$22 - $3,090	21%
Coventry/First Health-All Plans	$22 - $3,090	21%
Multiplan-All Plans	$22 - $3,193	21%
Sagamore-All Plans	$22 - $3,159	21%
Siho-All Plans	$22 - $3,159	21%
Community Health Alliance-All Plans	$23 - $3,227	22%
Encore Health Services-All Plans	$24 - $3,365	22%
Caresource Mcr Adv	$25 - $1,064	23%
Today'S Option Mcr Adv-All Plans	$26 - $1,096	24%
Viant Beech St Mcr Adv	$26 - $1,096	24%
My True Advantage - All Plans	$27 - $1,064	25%
Cigna	$72 - $1,388	67%
Health Net	$72 - $1,011	67%

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 $151.
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 Rush Memorial Hospital 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.