Ultrasound, thyroid and neck
Facility: Menorah Medical Center
Billing Code: 76536 (CPT)
- CPT Billing Code: 76536
- Insurance Median: $201
- Cash Discount Price: $3,637
- vs. Medicare Baseline: 1.88x 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 |
|---|---|---|
| United | $60 - $1,637 | 56% |
| Amerigroup | $60 | 56% |
| Healthyblue | $61 | 57% |
| Medicaid / KanCare | $62 | 58% |
| Aetna | $62 - $1,855 | 58% |
| Unicare | $62 | 58% |
| Home State Health Plan | $95 | 89% |
| Multiplan | $117 - $2,691 | 110% |
| Cigna | $122 - $2,909 | 114% |
| Corvel Corporation | $138 - $2,364 | 129% |
| Oha Network | $144 - $1,818 | 135% |
| Humana | $164 - $212 | 154% |
| Blue Cross Blue Shield | $166 - $1,637 | 155% |
| Ambetter / Centene | $676 | 633% |
| Nhc Advantage | $691 | 647% |
| Wppa Providrs Care Network | $727 | 681% |
| Universal Healthcare | $1,273 | 1192% |
| Coventry | $1,462 | 1369% |
| Coventry Kc Mo | $1,491 | 1396% |
| College Park Family Care Center | $1,564 | 1464% |
| Cco, Inc. | $2,728 | 2554% |
| Focus Healthcare Mgmt, Inc | $2,728 | 2554% |
| Triwest Health Alliance | $2,728 | 2554% |
Consumer Guidance & Cost Commentary
For the ultrasound of the thyroid and neck at Menorah Medical Center in Overland Park, KS, the cash price is $3,637.00, which matches the facility's cash median. This rate is significantly higher than the state average, indicated by a ratio of 1.9 times the Medicare benchmark of $106.81. While commercial insurance plans like United and Amerigroup have negotiated rates as low as $60, many other payers, including Multiplan and Cigna, have negotiated rates ranging from $1,170 to $2,909. Patients with high-deductible plans should consider that paying cash upfront might be more cost-effective if their insurance negotiated rate exceeds the cash price, as they would avoid the full out-of-pocket cost of the service.
To minimize potential costs, patients should explicitly ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront fee reductions can lower the final bill. It is also important to request a detailed, itemized billing audit rather than accepting a summary bill, since over 80% of hospital bills contain errors such as unbundled codes or charges for services not rendered. If a patient receives a balance bill from an out-of-network provider, they should not pay immediately out of fear of credit damage; instead, they should dispute the bill with their insurer and request a No Surprises Act audit to ensure they are not being charged for unexpected ancillary services.