CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $997
Cash Discount Price: $740
vs. Medicare Baseline: 9.33x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Cameron Memorial Community Hospital Inc is $997. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $740. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.33x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.

Cash / Self-Pay

$740

Average discount available for prompt cash payment at this facility.

Insurance Median

$997

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: $740 (693%)

Insurance Median: $997 (933%)

Cash: $740 (693% of Medicare)

Ins. Median: $997 (933% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 933% of the Medicare baseline (a markup of 833%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$66 - $796	62%
Caresource Indiana Of In	$66 - $469	62%
Managed Health Services	$66	62%
Mdwise	$66	62%
Aetna	$382 - $1,100	358%
Humana	$382 - $1,100	358%
UnitedHealthcare	$382 - $1,003	358%
Plain Church Group Ministry	$465 - $497	435%
Centivo	$649 - $693	608%
Lucent	$649 - $693	608%
Phcs	$895 - $955	838%
Php	$905 - $966	847%
Sagamore Health Network	$921 - $983	862%
Signature Care	$990 - $1,120	927%
Three Rivers Preferred	$1,014 - $1,082	949%
Cigna	$1,030 - $1,099	964%
Coventry	$1,050 - $1,120	983%
Lutheran Preferred	$1,074 - $1,146	1006%
Encore	$1,098 - $1,172	1028%
Frontpath	$1,098 - $1,171	1028%
Corvel	$1,110 - $1,184	1039%

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 $740.
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 Cameron Memorial Community Hospital Inc 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.