CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Minden Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $384
Cash Discount Price: $192
vs. Medicare Baseline: 3.60x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Minden Medical Center is $384. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $192. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.60x the Medicare baseline. Located in No 1 Medical Plaza, Minden, LA.

Cash / Self-Pay

$192

Average discount available for prompt cash payment at this facility.

Insurance Median

$384

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: $192 (180%)

Insurance Median: $384 (360%)

Cash: $192 (180% of Medicare)

Ins. Median: $384 (360% 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 360% of the Medicare baseline (a markup of 260%). 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
Mcd United Hc La	$33 - $122	31%
Aetna	$61 - $121	57%
Mcd Amerihealth	$61 - $121	57%
Mcd Healthy Blue	$61 - $121	57%
Mcd La Hlth Conn	$61 - $121	57%
Medicaid / KanCare	$61 - $121	57%
Humana	$67 - $133	63%
Commercial Insurance	$119 - $854	111%
Managed Care	$119 - $854	111%
Private Pay	$128 - $854	120%
Blue Cross Blue Shield	$220 - $854	206%
Workers Comp	$384 - $854	360%
Auto Liability	$427 - $854	400%
Charity And Indigent	$427 - $854	400%

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 $192.
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 Minden Medical Center 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.