CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Satanta District Hospital, Clinics, & Ltcu

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $570
  • Cash Discount Price: $712
  • vs. Medicare Baseline: 5.34x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Satanta District Hospital, Clinics, & Ltcu is $570. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $712. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.34x the Medicare baseline. Located in 401 Cheyenne, Satanta, KS.
Cash / Self-Pay
$712

Average discount available for prompt cash payment at this facility.

Insurance Median
$570

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $712 (667%)
Insurance Median: $570 (534%)
Cash: $712 (667% of Medicare)
Ins. Median: $570 (534% of 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.

Input your details and click calculate to compare out-of-pocket costs.

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.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 Cheyenne, Satanta, KS 67870
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals