CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Deaconess Henderson Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $105
  • Cash Discount Price: $474
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Deaconess Henderson Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $474. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.98x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$474

Average discount available for prompt cash payment at this facility.

Insurance Median
$105

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: $474 (444%)
Insurance Median: $105 (98%)
Cash: $474 (444% of Medicare)
Ins. Median: $105 (98% 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.

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
Blue Cross Blue Shield $35 - $899 33%
Wellcare Il $35 - $97 33%
Aetna $38 - $1,533 36%
Medicaid / KanCare $38 - $316 36%
UnitedHealthcare $38 - $316 36%
Wellcare Ky $38 - $116 36%
Humana $39 - $1,264 37%
Medicare (plans) $70 - $97 66%
Mhs Mco $70 - $97 66%
Molina Healthcare Of Ky $70 - $97 66%
Molina Healthcare Of Ky - Exchange $70 - $97 66%
Mytru Advantage $70 - $97 66%
Umwa $70 - $97 66%
Center Care Narrow $74 - $901 69%
Center Care Open Access $74 - $980 69%
Caresource In $76 - $101 71%
Ky Racing Health & Welfare Fund $84 - $458 79%
Self-Pay $84 - $474 79%
Caresource In Marketplace $91 - $145 85%
Wellcare Ky Commercial Exchange $91 - $198 85%
Alliance Coal $97 - $145 91%
Noncontracted $113 - $154 106%
First Health Network (Coventry) $116 - $1,343 109%
Healthlink $116 - $1,185 109%
Iu Health Plans $116 - $810 109%
Phcs/Multiplan $116 - $1,422 109%
Sagamore $116 - $1,390 109%
Encircle/Encore Combined $120 - $914 112%
Encircle/Encore Prime $120 - $852 112%
Cigna $143 - $1,011 134%
Claimdoc $143 - $948 134%
Hopetrust $143 - $232 134%
Hstechnology $143 - $232 134%
Amish And Mennonite Of Western Ky $145 - $204 136%
Coventry National Network $191 - $1,264 179%
Webster County Detention Center $191 - $1,264 179%
One Care $212 198%
Henderson County Detention Center $215 - $1,422 201%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals