Ultrasound, thyroid and neck
Facility: Saint John Hospital
Billing Code: 76536 (CPT)
- CPT Billing Code: 76536
- Insurance Median: $103
- Cash Discount Price: $98
- vs. Medicare Baseline: 0.96x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $60 | 56% |
| UnitedHealthcare | $91 - $138 | 85% |
| Celtic | $93 - $158 | 87% |
| Healthy Blue | $93 - $103 | 87% |
| Midland Care Connection | $98 | 92% |
| Cigna | $98 | 92% |
| Medicare (plans) | $98 | 92% |
| Tricare | $98 | 92% |
| Aetna | $98 - $159 | 92% |
| Kansas Superior Select | $100 | 94% |
| Comp Alliance Workers Comp | $131 | 123% |
| Well Path | $138 | 129% |
| Employer Direct Healthcare | $138 | 129% |
| Corizon | $138 | 129% |
| Oha Networks | $141 | 132% |
| Worker Compensation | $146 | 137% |
| Centurion | $148 | 139% |
| Naphcare | $153 | 143% |
| Blue Cross Blue Shield | $228 - $481 | 213% |
Consumer Guidance & Cost Commentary
For the ultrasound of the thyroid and neck at Saint John Hospital in Leavenworth, KS, the cash median price is $98.00, which is significantly lower than the facility's gross charge of $1,949.00. While the hospital's negotiated rates with insurance payers range from $60 to $481, the cash price remains the lowest fixed amount available for this service. Patients with high-deductible plans or those without insurance may find it financially advantageous to pay the cash median of $98.00 directly, as this amount is often lower than the negotiated rates commercial insurers pay, which can sometimes exceed the cash price due to administrative overhead and contract structures.
To maximize savings, consumers should verify the specific "self-pay" or "prompt-pay" discount rates offered by the hospital before scheduling, as these upfront payment incentives can further reduce the cost. It is important to note that while Medicare allows for a benchmark of $106.81 for this procedure, the actual cash price of $98.00 is already below the Medicare rate, making it a cost-effective option regardless of insurance status. Additionally, the facility's overall rating is 3, and it is a voluntary non-profit acute care hospital, but the primary focus for billing transparency remains comparing the $98.00 cash median against the broader range of negotiated amounts and the gross charge to ensure the most accurate financial planning.