CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Lake Charles Memorial Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $99
  • Cash Discount Price: $343
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Lake Charles Memorial Hospital is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $343. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.93x the Medicare baseline. Located in 1701 Oak Park Blvd, Lake Charles, LA.
Cash / Self-Pay
$343

Average discount available for prompt cash payment at this facility.

Insurance Median
$99

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: $343 (321%)
Insurance Median: $99 (93%)
Cash: $343 (321% of Medicare)
Ins. Median: $99 (93% 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
Aetna $90 - $344 84%
Medicaid / KanCare $90 - $99 84%
Blue Cross Blue Shield $97 91%
Champus_Va $97 91%
Cigna $97 - $429 91%
Medicare (plans) $97 91%
Tricare $97 91%
Veterans_Administration $97 91%
Veterans_Choice-Triwest $97 91%
Humana $99 - $340 93%
Coushatta_Tribe_Dept_Of_Health $175 164%
Vantage_Commercial $223 209%
Blue_Cross_Blue_Shield_La $233 218%
Meritain $257 241%
Verity $275 257%
Ppo_Plus_ $343 321%
Phcs $400 374%
United_Healthcare_Behavorial_Health $400 374%
Lwcc $438 410%
United_Healthcare $446 418%
First_Health $458 429%
Workers_Compensation $515 482%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Oak Park Blvd, Lake Charles, LA 70601
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals