CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Milford Regional Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $114
  • Cash Discount Price: $692
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Milford Regional Medical Center is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $692. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.07x the Medicare baseline. Located in 14 Prospect Street, Milford, MA.
Cash / Self-Pay
$692

Average discount available for prompt cash payment at this facility.

Insurance Median
$114

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: $692 (648%)
Insurance Median: $114 (107%)
Cash: $692 (648% of Medicare)
Ins. Median: $114 (107% 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 $112 105%
Blue Cross Blue Shield $112 - $199 105%
Fallon Senior / Navicare $112 105%
Harvard Pilgrim Healthcare $112 - $275 105%
Senior Whole Health $112 105%
Tufts Health One Care $112 105%
Tufts Senior Care Options $112 105%
Evercare Sco Dual $114 107%
Medicare (plans) $118 110%
Fallon Community Care $320 300%
UnitedHealthcare $547 512%
Cigna $3,078 2882%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14 Prospect Street, Milford, MA 01757
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals