CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Henry Ford Macomb Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $27
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.25x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Henry Ford Macomb Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.25x the Medicare baseline. Located in 15855 Nineteen Mile Rd, Clinton Township, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

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%)
Insurance Median: $27 (25%)
Ins. Median: $27 (25% 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 - $432 16%
Amerihealth Michigan $17 - $26 16%
Mclaren Health Plan Inc. $17 - $27 16%
Meridian $17 - $27 16%
Molina $18 - $141 17%
Priority $18 - $27 17%
Hap $23 - $115 22%
Humana $25 - $106 23%
Pace Se Mi $25 23%
Bcn $27 - $104 25%
Blue Cross Blue Shield $27 - $196 25%
Cca Health Mi $27 25%
Health Alliance Plan Of Michigan $27 25%
Mount Carmel Health Plan $27 - $104 25%
United Behavioral Health, Inc. $27 25%
UnitedHealthcare $27 - $403 25%
Wellcare Ma $27 25%
Vitalcore Physicians Group Of Mi $34 - $240 32%
Cigna $38 - $644 36%
Mclaren $43 40%
Meridian Health Plan Of Mi $43 - $141 40%
Priority Health $43 - $313 40%
Wellcare $80 75%
Pace Of Se Mi $99 93%
Cca Health Michigan $104 97%
Hap Caresource $104 97%
Mclaren Health $104 - $422 97%
Molina Mi Health Link $104 97%
Cofinity Group Health $276 - $593 258%
Multiplan, Inc. $496 - $529 464%
University Of Michigan $602 - $642 564%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals