Ultrasound, thyroid and neck
Facility: Pratt Regional Medical Center
Billing Code: 76536 (CPT)
- CPT Billing Code: 76536
- Insurance Median: $105
- Cash Discount Price: $364
- vs. Medicare Baseline: 0.98x 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 |
|---|---|---|
| Christian Health Aid | $60 - $720 | 56% |
| UnitedHealthcare | $67 - $979 | 63% |
| Health Partners Of Kansas | $68 - $816 | 64% |
| Aetna | $72 - $864 | 67% |
| Choicecare | $80 - $960 | 75% |
| Celtic Insurance Company | $102 | 95% |
| Healthy Blue | $105 | 98% |
Consumer Guidance & Cost Commentary
For the CPT code 76536 (Ultrasound, thyroid and neck) at Pratt Regional Medical Center in Pratt, KS, the facility's cash median price is $364.00, which is significantly higher than the state average of $106.81. While commercial insurance plans like UnitedHealthcare and Aetna have negotiated rates ranging from $67 to $960, these amounts often exceed the cash price due to administrative overhead and contract structures. Patients with high-deductible plans may find it financially advantageous to pay the cash price directly, as the negotiated rates paid by insurers can sometimes be substantially higher than the self-pay amount. It is important to verify the specific allowed amount for your plan before scheduling, as in-network status does not guarantee the lowest possible price.
To minimize costs, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. These discounts bypass the costly insurance claims process and provide immediate liquidity to the facility. Additionally, since over 80% of hospital bills contain errors, consumers should request a detailed, itemized statement rather than accepting a summary bill. If you receive a balance bill from an out-of-network provider at this in-network facility, you may be protected under the No Surprises Act, which prohibits balance billing for emergency and non-emergency services. Always dispute any unexpected charges in writing to ensure accuracy before making a payment.