Ultrasound, thyroid and neck
Facility: Greenwood County Hospital
Billing Code: 76536 (CPT)
- CPT Billing Code: 76536
- Insurance Median: $503
- Cash Discount Price: $476
- vs. Medicare Baseline: 4.71x 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 471% of the Medicare baseline (a markup of 371%). 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 |
|---|---|---|
| Triwest - All Plans | $212 | 198% |
| Choicecare Mcr Adv - All Plans | $250 | 234% |
| UnitedHealthcare | $250 - $500 | 234% |
| Tricare | $250 | 234% |
| Integrated Health Plan - All Plans | $446 | 418% |
| Blue Cross Blue Shield | $452 - $476 | 423% |
| Beech Street - All Plans | $506 | 474% |
| First Health - All Other Plans | $506 | 474% |
| First Health Ccn Network | $506 | 474% |
| Preferred Hs (Coventry) - All Plans | $536 | 502% |
| Principal Health Care Inc - All Plans | $565 | 529% |
| Amerigroup Mcaid-All Plans | $595 | 557% |
| Medicaid / KanCare | $595 | 557% |
| Providrs Care/Wppa - All Plans | $892 | 835% |
Consumer Guidance & Cost Commentary
For the CPT code 76536 (Ultrasound, thyroid and neck) at Greenwood County Hospital in Eureka, KS, the facility's cash median rate of $476.00 is lower than the negotiated rates paid by most insurance payers, which range from $212 to $892 depending on the plan. While the facility is a Critical Access Hospital with government local ownership, patients should be aware that commercial negotiated rates often exceed cash prices due to administrative overhead and contract structures. If you have a high-deductible plan or have not yet met your deductible, paying the cash price of $476.00 upfront may result in lower out-of-pocket costs compared to your insurance's allowed amount, which could be as high as $892 for some plans. It is advisable to contact the hospital directly to confirm if a "self-pay" or "prompt-pay" discount is available, as these programs can further reduce the final balance.
The Medicare benchmark for this service is $106.81, which serves as a baseline for evaluating the facility's pricing markup. The facility's cash rate of $476.00 represents a significant increase over the Medicare amount, reflecting the complexity of the procedure and local cost factors, but it remains substantially lower than the gross chargemaster price of $595.00. Consumers should avoid comparing their potential savings to the inflated list price, as this can create a false sense of value; instead, focus on the difference between the cash rate and your specific insurance allowed amount. If you receive a bill that includes charges higher than the negotiated rates, you may be eligible for a balance billing dispute under the No