Ultrasound, thyroid and neck
Facility: Labette Health
Billing Code: 76536 (CPT)
- CPT Billing Code: 76536
- Insurance Median: $93
- Cash Discount Price: $130
- vs. Medicare Baseline: 0.87x 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 |
|---|---|---|
| Uhccp | $21 - $41 | 20% |
| Aetna | $24 - $92 | 22% |
| Montgomery County | $26 - $180 | 24% |
| Kansas Superior Select | $26 - $101 | 24% |
| Ambetter / Centene | $26 - $113 | 24% |
| Medicaid / KanCare | $46 - $98 | 43% |
| Healthy Blue | $61 - $93 | 57% |
| Multiplan | $88 - $868 | 82% |
| Choicecare (First Health Network) | $93 - $919 | 87% |
| Health Partners Of Kansas, Inc | $93 - $919 | 87% |
| Wellcare | $98 | 92% |
| Humana | $98 | 92% |
| Blue Cross Blue Shield | $98 - $481 | 92% |
| UnitedHealthcare | $98 - $888 | 92% |
Consumer Guidance & Cost Commentary
For this ultrasound of the thyroid and neck at Labette Health in Parsons, KS, the cash median price is $130.00, which is lower than the facility's negotiated rates with most major payers. While the facility's cash price is significantly lower than the gross charges, it is important to note that commercial insurance contracts often result in higher out-of-pocket costs for patients. For instance, the negotiated rate with Multiplan ranges from $88 to $868, and with Choicecare (First Health Network) and Health Partners Of Kansas, Inc, it ranges from $93 to $919. Because these negotiated rates can exceed the cash price, patients with high-deductible plans may find paying out-of-pocket at the cash rate of $130.00 more cost-effective than relying on insurance, provided they have not yet met their deductible.
When evaluating the value of this service, the Medicare benchmark serves as the most reliable baseline for comparison, as it reflects the true cost of care rather than inflated list prices. The Medicare amount for this procedure is $106.81, and the facility's cash rate of $130.00 represents a 0.9x ratio relative to Medicare, indicating it is priced at approximately 90% of the federal benchmark. This contrasts with the facility's negotiated rates, which average $93.00 but can reach as high as $919 depending on the specific insurance plan. To ensure you are receiving the best possible rate, we recommend asking the hospital directly about "self-pay" or "prompt-pay" discounts, which can further reduce the final bill if you choose to pay in full upfront.