CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Ochsner Lafayette General Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $96
Cash Discount Price: $121
vs. Medicare Baseline: 0.90x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Ochsner Lafayette General Medical Center is $96. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.90x the Medicare baseline. Located in 1214 Coolidge Avenue, Lafayette, LA.

Cash / Self-Pay

$121

Average discount available for prompt cash payment at this facility.

Insurance Median

$96

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: $121 (113%)

Insurance Median: $96 (90%)

Cash: $121 (113% of Medicare)

Ins. Median: $96 (90% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Verity Commercial And First Choice Network	$45 - $310	42%
Aetna	$66 - $315	62%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$66 - $70	62%
Healthy Blue (Healthy Louisiana)	$66 - $70	62%
Humana	$66 - $97	62%
Louisiana Healthcare Connections (Healthy Louisiana)	$66 - $70	62%
UnitedHealthcare	$66 - $128	62%
Cigna	$72 - $361	67%
Zelis	$77 - $345	72%
Blue Cross Blue Shield	$96 - $209	90%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$96 - $97	90%
Medicare (plans)	$96 - $97	90%
Ochsner Health Plan	$96 - $97	90%
Wellcare Of Louisiana	$96 - $102	90%
Tricare	$97 - $99	91%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$99 - $100	93%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $121.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76536.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Ochsner Lafayette General Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76536.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.