CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Oakdale Community Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $418
Cash Discount Price: $144
vs. Medicare Baseline: 3.91x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Oakdale Community Hospital is $418. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $144. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.91x the Medicare baseline. Located in 130 N Hospital Dr, Oakdale, LA.

Cash / Self-Pay

$144

Average discount available for prompt cash payment at this facility.

Insurance Median

$418

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: $144 (135%)

Insurance Median: $418 (391%)

Cash: $144 (135% of Medicare)

Ins. Median: $418 (391% 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 391% of the Medicare baseline (a markup of 291%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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	$130 - $404	122%
Meritain	$130 - $404	122%
Amfirst	$144	135%
Self Pay	$144	135%
Medicaid / KanCare	$159	149%
UnitedHealthcare	$159	149%
Humana	$175 - $453	164%
Blue Cross Blue Shield	$184	172%
Web-Tpa	$359	336%
Cigna	$392 - $405	367%
Ima	$431 - $718	404%
Ppo Plus	$431	404%
Wc Gulf South Risk Srvcs	$647	606%
Wc Martco	$647	606%
Wc Misc	$647	606%
Wc Risk Mgmnt-Baton Rouge	$647	606%
Wc Sedwick Workmans Comp	$647	606%
Wc Us Department Of Labor	$647	606%
American Public Life	$718	672%
American Retirement Life	$718	672%
Apwu	$718	672%
Auto Liability	$718	672%
Bankers Life	$718	672%
Correct Care	$718	672%
Fox Everitt	$718	672%
Mailhandlers Benefit Plan	$718	672%
Medishare	$718	672%
Medplus	$718	672%
Misc Commerical	$718	672%
Phcs	$718	672%
Physicians Mutual	$718	672%
State Farm-La	$718	672%
Triwest	$718	672%
Us Family Health Plan	$718	672%
Usaa	$718	672%

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 $144.
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 Oakdale Community Hospital 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.