CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Bayou Bend Health System

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $242
Cash Discount Price: $249
vs. Medicare Baseline: 2.27x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Bayou Bend Health System is $242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $249. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.27x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.

Cash / Self-Pay

$249

Average discount available for prompt cash payment at this facility.

Insurance Median

$242

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: $249 (233%)

Insurance Median: $242 (227%)

Cash: $249 (233% of Medicare)

Ins. Median: $242 (227% 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 227% of the Medicare baseline (a markup of 127%). 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
Blue Cross Blue Shield	$126 - $251	118%
Tricare	$160	150%
UnitedHealthcare	$167 - $179	156%
Aetna	$178 - $242	167%
Dignity Mcr Adv Ip/Op Only-All Plans	$178	167%
Humana	$178 - $231	167%
Sterling Hp Mcr Adv Ip/Op Only-All Plans	$178	167%
Verity Healthnet Mcr Adv Ip/Op Only	$178	167%
Wellcare Mcr Allwell Ip/Op Only-All Plans	$178	167%
Ambetter / Centene	$205	192%
Cigna	$249	233%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans	$251	235%
La Health Mcaid Ip/Op Only	$251	235%
Verity Healthnet Mcaid Ip/Op Only	$251	235%
Diocese Of Lafaytte Ip/Op Only-All Plans	$267	250%
Gilsbar 360 Ip/Op Only-All Plans	$267	250%
Verity Healthnet Ip/Op Only-All Other Plans	$267	250%
Ccn/First Health Ip/Op Only-All Plans	$285	267%
Integrated Hp Multiplan Ip/Op Only-All Plans	$285	267%
Ppo Plus / Zelis Ip/Op Only-All Plans	$285	267%
Geha Ppo Ip/Op Only-All Plans	$303	284%
Usa Mco Ip/Op Only-All Plans	$303	284%
Galaxy Ip/Op Only-All Plans	$320	300%

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 $249.
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 Bayou Bend Health System 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.