CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Ochsner LSU Health Monroe

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $151
Cash Discount Price: $217
vs. Medicare Baseline: 1.41x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Ochsner LSU Health Monroe is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $217. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.41x the Medicare baseline. Located in 4864 Jackson Street, Monroe, LA.

Cash / Self-Pay

$217

Average discount available for prompt cash payment at this facility.

Insurance Median

$151

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: $217 (203%)

Insurance Median: $151 (141%)

Cash: $217 (203% of Medicare)

Ins. Median: $151 (141% 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
Aetna	$82 - $196	77%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$82 - $151	77%
Healthy Blue (Formerly Amerigroup Louisiana Inc.)	$82 - $151	77%
Humana	$82 - $151	77%
Louisiana Healthcare Connections (Healthy Louisiana)	$82 - $151	77%
UnitedHealthcare	$82 - $258	77%
(Healthy Louisiana) And Healthy Blue Dual Advantage (Hmo-D-Snp)	$97	91%
Blue Cross Blue Shield	$97 - $169	91%
Medicare (plans)	$97	91%
Vantage Health Plan - Commercial	$106	99%
Zelis	$170	159%
Cigna	$184	172%
First Health Network	$202	189%
Verity Health Network – Lsu First Choice	$215 - $396	201%
Healthcomp Ppo (Formerly Gilsbar 360	$242	227%
Multiplan/Phcs/American Lifecare	$358 - $659	335%
Usa Managed Care Network	$383 - $706	359%

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 $217.
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 LSU Health Monroe 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.