Ultrasound, thyroid and neck
Facility: Overland Park Reg Med Ctr
Billing Code: 76536 (CPT)
- CPT Billing Code: 76536
- Insurance Median: $1,371
- Cash Discount Price: $4,301
- vs. Medicare Baseline: 12.84x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 1284% of the Medicare baseline (a markup of 1184%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| United | $60 - $2,130 | 56% |
| Amerigroup | $60 | 56% |
| Healthyblue | $61 | 57% |
| Unicare | $62 | 58% |
| Aetna | $62 - $2,413 | 58% |
| Medicaid / KanCare | $62 | 58% |
| Home State Health Plan | $95 | 89% |
| Multiplan | $117 - $3,502 | 110% |
| Cigna | $122 - $181 | 114% |
| Corvel Corporation | $138 - $3,076 | 129% |
| Oha Network | $144 - $2,366 | 135% |
| Humana | $164 - $212 | 154% |
| Blue Cross Blue Shield | $166 - $2,035 | 155% |
| Ambetter / Centene | $750 - $880 | 702% |
| Nhc Advantage | $766 - $899 | 717% |
| Wppa Providrs Care Network | $806 - $946 | 755% |
| Universal Healthcare | $1,411 - $1,656 | 1321% |
| Coventry | $1,621 - $1,902 | 1518% |
| Coventry Kc Mo | $1,653 - $1,940 | 1548% |
| College Park Family Care Center | $1,734 - $2,035 | 1623% |
| Triwest Health Alliance | $3,024 - $3,549 | 2831% |
| Focus Healthcare Mgmt, Inc | $3,024 - $3,549 | 2831% |
| Cco, Inc. | $3,024 - $3,549 | 2831% |
Consumer Guidance & Cost Commentary
For the ultrasound of the thyroid and neck performed at Overland Park Reg Med Ctr in Overland Park, KS, the cash price is $4,301.00, which matches the facility's cash median. This rate is significantly higher than the state average, reflecting a markup of 12.8% over the Medicare benchmark of $106.81. While many commercial payers have negotiated rates ranging from $60 to $3,549, the cash price remains the highest figure in this dataset. Patients with high-deductible plans or those without insurance may find the cash price advantageous if their insurance negotiated rates exceed this amount, as paying upfront can sometimes result in lower out-of-pocket costs compared to the administrative overhead embedded in insurance billing.
To minimize potential costs, patients should proactively inquire about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront payment incentives can reduce the final bill by 20% to 50%. It is also important to request a full itemized CPT-coded bill rather than accepting a summary invoice, as over 80% of hospital bills contain errors such as double-billing or unbundled codes that can be disputed. Finally, while the facility is in-network for many carriers, patients should verify their specific deductible status and allowed amounts, as assuming that in-network coverage equals the lowest possible price can lead to unexpected financial exposure if the plan has not yet met its deductible threshold.