Ultrasound, thyroid and neck
Facility: Satanta District Hospital, Clinics, & Ltcu
Billing Code: 76536 (CPT)
- CPT Billing Code: 76536
- Insurance Median: $570
- Cash Discount Price: $712
- vs. Medicare Baseline: 5.34x 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 534% of the Medicare baseline (a markup of 434%). 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 |
|---|---|---|
| Direct Benefit-All Plans | $190 | 178% |
| UnitedHealthcare | $229 - $791 | 214% |
| Berkley Net-All Plans | $316 | 296% |
| Trustmark Health Benefits-All Plans | $348 | 326% |
| Aetna | $348 - $538 | 326% |
| Meritain Health-All Plans | $356 | 333% |
| Ambetter / Centene | $380 | 356% |
| Axa Equitable - All Plans | $435 | 407% |
| Pinnacol-All Plans | $443 | 415% |
| Medi-Share-All Plans | $451 | 422% |
| Presbyterian-All Plans | $483 | 452% |
| Kasb Work Comp - All Plans | $506 | 474% |
| The Kempton Group Admin-All Plans | $546 | 511% |
| Auxiant - All Plans | $554 | 519% |
| Gpha(Wppa)-All Other Plans | $554 | 519% |
| Wppa- All Plans | $562 | 526% |
| Emc-All Plans | $570 | 534% |
| Sisco-All Plans | $570 | 534% |
| Providers Care Network- All Plans | $570 | 534% |
| Gpha Employee Benefit Plan | $577 | 540% |
| Regional Care(Wppa)-All Plans | $593 | 555% |
| Employee Benefit-All Plans | $593 | 555% |
| First Health -All Plans | $601 | 563% |
| Triangle-All Plans | $601 | 563% |
| One Call Physician-All Plans | $609 | 570% |
| Blue Cross Blue Shield | $625 | 585% |
| Christian Hospital Aid - All Plans | $633 | 593% |
| Tricare | $633 | 593% |
| Humana | $680 | 637% |
| Luminare Health- All Plans | $696 | 652% |
| Cigna | $696 | 652% |
| Deseret Mutual(Uhis)-All Plans | $712 | 667% |
| Coresource-All Plans | $712 | 667% |
| Vaccn-All Plans | $728 | 682% |
| Wps Vapc-All Plans | $751 | 703% |
| Reserve National-All Plans | $751 | 703% |
| Hma Llc-All Plans | $751 | 703% |
| Medicaid / KanCare | $791 | 741% |
Consumer Guidance & Cost Commentary
For the ultrasound of the thyroid and neck performed at Satanta District Hospital in Satanta, Kansas, the facility's cash median rate is $712.00, which is notably lower than the state average of $791.00. While many insurance plans negotiate rates that range from $190 to $791 depending on the carrier, patients with high-deductible plans may find paying the cash price directly more cost-effective if their insurance negotiated rate exceeds this amount. It is important to note that while the facility is a Critical Access Hospital owned by a government district, the cash rate does not automatically apply to insured patients; however, asking for "self-pay" or "prompt-pay" discounts before scheduling can sometimes result in further reductions, as hospitals often offer fee reductions of 20% to 50% for upfront payments to bypass administrative claim processing costs.
When using insurance, the median negotiated payment across all plans is $570.00, which is lower than the cash price but still represents a significant portion of the gross charge. This disparity highlights the complexity of commercial pricing, where administrative structures and contract dynamics often inflate baseline prices compared to direct cash transactions. Patients should be aware that while the No Surprises Act protects against balance billing for emergency services at in-network facilities, it is crucial to verify the specific allowed amount for this CPT code before receiving care. To ensure transparency and avoid unexpected costs, consumers are encouraged to request a full itemized billing audit if discrepancies arise, as over 80% of hospital bills contain errors such as unbundled codes or services not rendered, which can be corrected through formal written disputes rather than verbal agreements.