CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Rockcastle County Hospital, Inc.

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $173
  • Cash Discount Price: $370
  • vs. Medicare Baseline: 1.62x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Rockcastle County Hospital, Inc. is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $370. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.62x the Medicare baseline. Located in 145 Newcomb Avenue, Mount Vernon, KY.
Cash / Self-Pay
$370

Average discount available for prompt cash payment at this facility.

Insurance Median
$173

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: $370 (346%)
Insurance Median: $173 (162%)
Cash: $370 (346% of Medicare)
Ins. Median: $173 (162% 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
Passport Hp Hmo - All Plans $50 47%
Caresource Mcaid $63 59%
Coventry Mcaid-All Plans $63 59%
Medicaid / KanCare $63 59%
Molina Mcaid $63 59%
UnitedHealthcare $63 - $140 59%
Tricare $74 69%
Blue Cross Blue Shield $98 - $556 92%
Caresource Mcr Adv-All Other Plans $98 92%
Humana $98 92%
Molina Marketplace - All Other Plans $98 92%
Molina Mcr Adv $98 92%
Signature Mcr Adv-All Plans $98 92%
Wellcare Mcr Adv-All Other Plans $98 92%
Multiplan-All Plans $196 - $631 184%
Prime Health Services-All Plans $196 - $631 184%
Integrated Hp-All Plans $206 - $660 193%
Corvel - All Plans $208 - $668 195%
Center Care-All Plans $219 - $705 205%
Cigna $224 - $720 210%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 145 Newcomb Avenue, Mount Vernon, KY 40456
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals