CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Winn Parish Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $924
  • Cash Discount Price: $277
  • vs. Medicare Baseline: 8.65x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Winn Parish Medical Center is $924. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $277. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.65x the Medicare baseline. Located in 301 W Boundary Ave, Winnfield, LA.
Cash / Self-Pay
$277

Average discount available for prompt cash payment at this facility.

Insurance Median
$924

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: $277 (259%)
Insurance Median: $924 (865%)
Cash: $277 (259% of Medicare)
Ins. Median: $924 (865% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 865% of the Medicare baseline (a markup of 765%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $142 - $924 133%
Blue Cross Blue Shield $201 188%
Medicare (plans) $201 188%
Self Pay $277 259%
Medicaid / KanCare $293 - $322 274%
UnitedHealthcare $293 274%
Wellcare $293 274%
Humana $370 - $582 346%
Ima $462 433%
Multiplan Ppo $490 - $582 459%
Cigna $504 - $521 472%
Natl Assoc Of Letter Carr $504 - $924 472%
Ppoplus $554 519%
Zelis $554 519%
La Workers Comp Corp $832 779%
Workman'S Comp Op $832 779%
Aflac $924 865%
American Health Advantage $924 865%
American Retirement $924 865%
Amfirst $924 865%
Apwu Health Plan $924 865%
Attorney Claim $924 865%
Bankers Fidelity $924 865%
Commercial Miscellaneous $924 865%
Correct Care Integrated $924 865%
Fox Everett $924 865%
Gilsbar $924 865%
Guarantee Trust Life $924 865%
Heart Of Hospice $924 865%
Hospice Compassus $924 865%
Legacy Hospice $924 865%
Liberty Mutual $924 865%
Medico Insurance Company $924 865%
Meritain Health $924 865%
Miscellaneous $924 865%
Mutual Of Omaha $924 865%
New Era Life Ins $924 865%
Phcs $924 865%
Philadephia American $924 865%
Physicians Mutual $924 865%
Pipeline Ind Benefit Fund $924 865%
Rural Carrier Benefit $924 865%
Sentinel Security Life $924 865%
State Farm $924 865%
United American Ins $924 865%
United Of Omaha Life Ins $924 865%
Usaa Life Ins Co $924 865%
World Insurance Company $924 865%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 301 W Boundary Ave, Winnfield, LA 71483
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals