Ultrasound, thyroid and neck
Facility: Grisell Memorial Hospital
Billing Code: 76536 (CPT)
- CPT Billing Code: 76536
- Insurance Median: $695
- Cash Discount Price: $758
- vs. Medicare Baseline: 6.51x 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 651% of the Medicare baseline (a markup of 551%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $452 | 423% |
| UnitedHealthcare | $593 - $798 | 555% |
| Humana | $798 | 747% |
| Medicaid / KanCare | $798 | 747% |
Consumer Guidance & Cost Commentary
For the CPT code 76536 (Ultrasound, thyroid and neck) at Grisell Memorial Hospital in Ransom, KS, the cash median price is $758.00, which is lower than the facility's negotiated rates of $695.00 and the Medicare benchmark of $106.81. While the facility is a Critical Access Hospital owned by a Government Hospital District, patients with high-deductible plans may find the cash price more affordable than their insurance negotiated rate, which ranges from $452 to $798 depending on the payer. It is important to note that commercial rates often include administrative overhead and contract markups, so comparing the cash price directly to the Medicare rate reveals the true cost structure rather than the inflated chargemaster list.
To ensure you are receiving the most accurate pricing, always request a full itemized bill before paying, as summary invoices can obscure individual charges or unbundled services. If you choose to pay out-of-pocket, ask specifically about "self-pay" or "prompt-pay" discounts, which can reduce the total cost by 20% to 50% if settled within 30 days. Since the No Surprises Act prohibits balance billing for emergency care and non-emergency services at in-network facilities, you should verify your network status and deductible balance before scheduling to avoid unexpected costs.