CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Boston Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $128
  • Cash Discount Price: $457
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Boston Medical Center is $128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $457. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.20x the Medicare baseline. Located in 1 Boston Medical Center Place, Boston, MA.
Cash / Self-Pay
$457

Average discount available for prompt cash payment at this facility.

Insurance Median
$128

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: $457 (428%)
Insurance Median: $128 (120%)
Cash: $457 (428% of Medicare)
Ins. Median: $128 (120% 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
Workers Comp [5002] $93 87%
Zzzbu Employee Work Comp [5004] $93 87%
Zzzcity Of Boston Work Comp [5003] $93 87%
Oxford Health [1007] $107 100%
Oxford Health [2024] $107 100%
United [2025] $107 - $113 100%
UnitedHealthcare $107 - $121 100%
Zzzunited [1008] $107 - $113 100%
Harvard Pilgrim Health Care [8001] $113 106%
Health Plans Inc [2027] $113 106%
Zzzhealth Plans Inc [1013] $113 106%
Champva [9004] $120 112%
Tricare $120 112%
Aetna $121 - $496 113%
Blue Cross Blue Shield $121 - $129 113%
Humana $121 113%
Medicare (plans) $121 - $128 113%
Neighborhood Pace [1206] $121 113%
Tufts [8002] $121 - $353 113%
Ubh Hphc [8016] $121 113%
Veterans Admin [9003] $121 113%
Zzzcovid19 Hrsa Uninsured Testing And Treatment Fund [500010] $121 113%
Wellcare [1240] $126 118%
Cca [1215] $128 120%
Corrections [9001] $128 - $152 120%
Zzzcca Onecare [1216] $128 120%
Eternalhealth [1227] $129 121%
Unicare [8004] $133 125%
Wellpoint [2034] $133 125%
Fallon Sco [1126] $134 125%
Senior Whole Health [1210] $146 137%
Fallon [8008] $158 148%
Tufts Conncare/Qhp [8020] $173 - $431 162%
Cigna $353 - $863 330%
Medicaid / KanCare $365 342%
Uphams Corner Esp [1213] $406 380%
Meritain Health [1023] $496 464%
Hsn Bad Debt [4003] $513 480%
Hsn Confidential [4007] $513 480%
Hsn Dental [4006] $513 480%
Hsn Partial [4002] $513 480%
Hsn [4001] $513 480%
Mass General Brigham Health Plan Commercial [8009] $547 512%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Boston Medical Center Place, Boston, MA 02118
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals