CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: University of Michigan Health System

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $78
  • Cash Discount Price: $248
  • vs. Medicare Baseline: 0.73x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at University of Michigan Health System is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $248. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.73x the Medicare baseline. Located in 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI.
Cash / Self-Pay
$248

Average discount available for prompt cash payment at this facility.

Insurance Median
$78

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: $248 (232%)
Insurance Median: $78 (73%)
Cash: $248 (232% of Medicare)
Ins. Median: $78 (73% 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 $17 - $780 16%
Ambetter / Centene $17 - $70 16%
Blue Cross Blue Shield $17 - $660 16%
Buckeye Community Health Plan $17 - $70 16%
Hap Midwest $17 - $70 16%
Mclaren Health Plan Inc $17 - $777 16%
Medicaid / KanCare $17 - $556 16%
Molina Healthcare Of Michigan Inc $17 - $92 16%
Priority Health $17 - $1,181 16%
UnitedHealthcare $17 - $811 16%
Amerihealth Michigan Inc $20 - $72 19%
Huron Valley Pace $24 - $86 22%
Blue Care Network Of Michigan $25 - $660 23%
Health Alliance Plan $25 - $90 23%
Humana $25 - $90 23%
Medicare (plans) $25 - $92 23%
Medigold Trinity Health Plan Of Michigan $25 - $90 23%
Meridian Health Plan Of Michigan Inc $25 - $90 23%
Paramount Elite-Ohio $25 - $90 23%
Paramount Health Care $25 - $922 23%
Thome Pace $25 - $90 23%
Triwest $25 - $90 23%
Veteran Affairs Community Care Program $25 - $90 23%
Zing Health $26 - $95 24%
Employee Benefit Logistic $42 - $153 39%
Point Comfort Underwriters Unaccompanied Children Program $56 - $478 52%
Priority Health [1038] $60 - $724 56%
Metrocare $61 - $522 57%
Hap [1023] $71 - $833 66%
Plain Church Group $78 - $667 73%
First Health $84 - $944 79%
Cofinity $86 - $847 81%
Confinity Advantage $86 - $641 81%
Beaumont Health Network $91 - $778 85%
Nomi Health $91 - $778 85%
Provider Network Of America $91 - $778 85%
First Agency $98 - $833 92%
Parkview Health Plan Services $98 - $833 92%
Bronson Healthcare Group $110 - $944 103%
Multiplan $110 - $944 103%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI 48109
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals