Ultrasound, thyroid and neck
Facility: Neosho Memorial Regional Medical Center
Billing Code: 76536 (CPT)
- CPT Billing Code: 76536
- Insurance Median: $252
- Cash Discount Price: $590
- vs. Medicare Baseline: 2.36x 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 236% of the Medicare baseline (a markup of 136%). 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 |
|---|---|---|
| Medicaid / KanCare | $60 | 56% |
| Tricare | $242 | 227% |
| Blue Cross Blue Shield | $252 - $531 | 236% |
| Medadv_Allwell | $252 | 236% |
| Humana | $252 | 236% |
| Va_Ccn | $252 | 236% |
| Medicare (plans) | $252 | 236% |
| Aetna | $252 | 236% |
| Medadv_Uhc | $252 | 236% |
| Ambetter / Centene | $397 | 372% |
| Wppa_Providrscare | $653 | 611% |
| United | $655 | 613% |
| Coventry | $747 | 699% |
| Hpk | $747 | 699% |
| Cigna | $747 | 699% |
Consumer Guidance & Cost Commentary
For the ultrasound of the thyroid and neck at Neosho Memorial Regional Medical Center, the cash median price is $590.00, which is lower than the facility's negotiated rates of $252.00 and the gross charge of $787.00. While many insurance plans, including Medicaid/KanCare and Tricare, have a fixed negotiated rate of $242.00 or $252.00, patients with high-deductible plans might find paying the cash price of $590.00 more cost-effective if their insurance allowed amount exceeds this figure. It is important to note that the facility is a Critical Access Hospital in Chanute, KS, and while the data does not provide specific county or state average comparisons for this procedure, patients should always verify their specific plan's allowed amount before scheduling to ensure they are not overpaying relative to their coverage.
The Medicare benchmark for this service is $106.81, which serves as a baseline for evaluating the facility's pricing structure. The facility's negotiated rate of $252.00 represents a significant markup compared to the Medicare rate, reflecting the administrative costs and contract dynamics inherent in commercial insurance billing. To minimize costs, patients should inquire directly with the hospital about "self-pay" or "prompt-pay" discounts, which can reduce the bill by 20% to 50% if paid in full upfront. Additionally, since over 80% of hospital bills contain errors, consumers are advised to request a detailed, itemized bill rather than accepting a summary invoice, ensuring that no unbundled codes or services not rendered are included in the final charge.