CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Pulaski Memorial Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $99
  • Cash Discount Price: $352
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Pulaski Memorial Hospital is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $352. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.93x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.
Cash / Self-Pay
$352

Average discount available for prompt cash payment at this facility.

Insurance Median
$99

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: $352 (330%)
Insurance Median: $99 (93%)
Cash: $352 (330% of Medicare)
Ins. Median: $99 (93% 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
UnitedHealthcare $23 - $733 22%
Ambetter / Centene $25 - $288 23%
Blue Cross Blue Shield $25 - $617 23%
Caresource Mcaid Hip $25 - $288 23%
Caresource Mcare Hmo $25 - $288 23%
Cenpatico Mcaid Hip $25 - $288 23%
Humana $25 - $746 23%
Mdwise Mcaid Hcc $25 - $66 23%
Mdwise Mcaid Hhw $25 - $66 23%
Mdwise Mcaid Hip - All Other Plans $25 - $288 23%
Mhs Mcaid Hip $25 - $288 23%
Mhs Mcare Allwell $25 - $291 23%
Multiplan - All Plans $25 - $836 23%
Caresource Exch Hmo Hix - All Other Plans $32 - $360 30%
Encore Ppo - All Other Plans $39 - $789 37%
Cigna $43 - $882 40%
Sagamore - All Other Plans $43 - $702 40%
Sagamore Rose Acre $43 - $692 40%
Community Health Alliance - All Plans $50 - $826 47%
Caresource Mcaid Hhw $66 - $99 62%
Cenpatico Mcaid Hhw - All Other Plans $66 - $99 62%
Mhs Mcaid Hhw/Hcc $66 - $99 62%
Encore Workers Comp $70 - $836 66%
Aetna $334 313%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 616 E 13Th St, Winamac, IN 46996
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals