CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Ochsner St Martin Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $193
  • Cash Discount Price: $227
  • vs. Medicare Baseline: 1.81x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Ochsner St Martin Hospital is $193. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $227. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.81x the Medicare baseline. Located in 210 Champagne Boulevard, Breaux Bridge, LA.
Cash / Self-Pay
$227

Average discount available for prompt cash payment at this facility.

Insurance Median
$193

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: $227 (213%)
Insurance Median: $193 (181%)
Cash: $227 (213% of Medicare)
Ins. Median: $193 (181% 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 $167 - $689 156%
Blue Cross Blue Shield $167 - $192 156%
Healthy Blue Dual Advantage (Hmo-D-Snp) $167 156%
Humana $167 - $274 156%
Medicare (plans) $167 156%
Ochsner Health Plan $167 156%
UnitedHealthcare $167 - $274 156%
Wellcare Of Louisiana $167 156%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $172 161%
Tricare $193 181%
Verity Commercial And First Choice Network $265 248%
Amerihealth Caritas Louisiana (Healthy Louisiana) $274 257%
Healthy Blue (Healthy Louisiana) $274 257%
Louisiana Healthcare Connections (Healthy Louisiana) $274 257%
Zelis $530 496%
Cigna $643 602%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 210 Champagne Boulevard, Breaux Bridge, LA 70517
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals