Ultrasound, thyroid and neck
Facility: Lindsborg Community Hospital
Billing Code: 76536 (CPT)
- CPT Billing Code: 76536
- Insurance Median: $1,617
- Cash Discount Price: $1,237
- vs. Medicare Baseline: 15.14x 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 1514% of the Medicare baseline (a markup of 1414%). 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 | $476 | 446% |
| Tricare | $831 | 778% |
| Coventry Mcr Adv | $839 | 786% |
| Cigna | $1,502 | 1406% |
| Coventry Comm-All Other Plans | $1,591 | 1490% |
| UnitedHealthcare | $1,591 | 1490% |
| Multiplan-All Plans | $1,644 | 1539% |
| Phcs Preferred-All Plans | $1,644 | 1539% |
| Health Partners -All Plans | $1,679 | 1572% |
| Wppa-All Plans | $1,679 | 1572% |
| Century Health-All Plans | $1,679 | 1572% |
| Coventry Wc | $1,679 | 1572% |
Consumer Guidance & Cost Commentary
For the ultrasound of the thyroid and neck at Lindsborg Community Hospital, the cash price is $1,237, which is lower than the facility's negotiated rate of $1,644. This cash price is also significantly lower than the gross charge of $1,767 and the Medicare benchmark of $106.81. While the facility is a Critical Access Hospital in Lindsborg, KS, the data provided does not include specific county or state average comparisons for this procedure. However, patients should be aware that paying cash upfront can often result in substantial savings compared to insurance reimbursement, as the negotiated rates paid by insurers like Blue Cross Blue Shield and Tricare range from $476 to $1,679.
To maximize these savings, patients should inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which may offer an additional reduction for upfront payment. It is important to note that while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should still verify their specific plan details before scheduling. If a patient has a high deductible, paying the cash price of $1,237 might be more cost-effective than the insurance negotiated rate, provided they have not yet met their deductible threshold. Patients are encouraged to request an itemized bill to ensure all charges are accurate and to avoid unexpected costs associated with administrative processing or unbundled codes.