Ultrasound, thyroid and neck
Facility: Mcpherson Hospital
Billing Code: 76536 (CPT)
- CPT Billing Code: 76536
- Insurance Median: $96
- Cash Discount Price: $504
- vs. Medicare Baseline: 0.90x 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 |
|---|---|---|
| UnitedHealthcare | $21 - $1,162 | 20% |
| Tricare | $22 - $85 | 21% |
| Ambetter / Centene | $25 - $111 | 23% |
| Wellcare Mcr Adv - All Plans | $25 - $96 | 23% |
| Humana | $25 - $96 | 23% |
| Aetna | $25 - $1,162 | 23% |
| Blue Cross Blue Shield | $25 - $96 | 23% |
| Va Ccn - All Plans | $25 - $96 | 23% |
| Healthy Blue Mcr Adv | $25 - $96 | 23% |
| Multiplan - All Plans | $31 - $1,046 | 29% |
| Medicaid / KanCare | $88 - $1,162 | 82% |
| Health Blue Mcaid - All Other Plans | $90 - $1,185 | 84% |
| Medical Associates - All Plans | $150 - $872 | 140% |
| Central Plains - All Plans | $150 - $872 | 140% |
| Cigna | $190 - $1,104 | 178% |
| Health Partners - All Plans | $190 - $1,104 | 178% |
| Wppa - All Plans | $813 | 761% |
| Christian Health Aid - All Plans | $930 | 871% |
| First Health - All Plans | $1,104 | 1034% |
Consumer Guidance & Cost Commentary
For the CPT code 76536 (Ultrasound, thyroid and neck) at Mcpherson Hospital, the cash median price is $504.00, which is lower than the facility's negotiated rates of $96.00 and the median paid amount of $872.00. While the facility is located in Mcpherson, Kansas (ZIP 67460), the provided data does not include specific county or state average figures for comparison. However, the cash price of $504.00 is notably lower than the Medicare amount of $106.81, indicating that for patients with high-deductible plans, paying cash directly may result in lower out-of-pocket costs compared to using insurance, as the negotiated rates often exceed the cash price. Patients should verify their specific plan's deductible status before scheduling, as paying the full negotiated rate without meeting the deductible can be more expensive than the cash option.
To ensure you receive the most accurate pricing, it is recommended to request an itemized billing audit before finalizing payment, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can inflate costs. Additionally, ask the hospital about prompt-pay discounts, which can reduce the bill by 20% to 50% if paid in full upfront, bypassing the administrative overhead associated with insurance claims processing. While the facility is a voluntary non-profit acute care hospital with a facility rating of 2, the lack of specific state or county average data means the cash price of $504.00 should be compared directly against your own insurance allowed amounts or other local providers to determine the