CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Ochsner St Mary

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $97
  • Cash Discount Price: $84
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Ochsner St Mary is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.91x the Medicare baseline. Located in 1125 Marguerite Street, Morgan City, LA.
Cash / Self-Pay
$84

Average discount available for prompt cash payment at this facility.

Insurance Median
$97

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: $84 (79%)
Insurance Median: $97 (91%)
Cash: $84 (79% of Medicare)
Ins. Median: $97 (91% 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
Tricare $41 - $104 38%
Healthy Blue (Healthy Louisiana) $53 50%
Humana $53 - $97 50%
Louisiana Healthcare Connections (Healthy Louisiana) $53 50%
UnitedHealthcare $53 - $250 50%
Aetna $55 - $358 51%
Amerihealth Caritas Louisiana (Healthy Louisiana) $55 51%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $97 91%
Blue Cross Blue Shield $97 - $172 91%
Healthy Blue Dual Advantage (Hmo-D-Snp) $97 91%
Medicare (plans) $97 91%
Ochsner Health Plan $97 91%
Zelis $146 137%
Verity Commercial And First Choice Network $227 213%
Claritev D/B/A Multiplan/Phcs/American Life Care $244 228%
First Health Network $281 263%
Healthcomp & Personify Health (Formerly Gilsbar) $294 275%
Cigna $318 298%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1125 Marguerite Street, Morgan City, LA 70380
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals