CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Covenant Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $101
Cash Discount Price: $446
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Covenant Medical Center is $101. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $446. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.95x the Medicare baseline. Located in 1447 N Harrison, Saginaw, MI.

Cash / Self-Pay

$446

Average discount available for prompt cash payment at this facility.

Insurance Median

$101

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: $446 (418%)

Insurance Median: $101 (95%)

Cash: $446 (418% of Medicare)

Ins. Median: $101 (95% 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.

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
Health Advantage Mclaren Employee	$20 - $701	19%
Mclaren Health Advantage	$21 - $574	20%
Priority Health E	$21 - $586	20%
Physicians Health Plan	$25 - $701	23%
Priority Health	$25 - $701	23%
Aetna	$26 - $937	24%
Blue Cross Blue Shield	$26 - $175	24%
Health Alliance Plan Of Michigan	$26 - $206	24%
Healthy Michigan Mclaren	$26 - $101	24%
Healthy Michigan Meridian	$26 - $101	24%
Healthy Michigan Molina	$26 - $101	24%
Healthy Michigan Priority Health	$26 - $101	24%
Humana	$26 - $956	24%
Mclaren Advantage	$26 - $107	24%
Molina Healthplan	$26 - $107	24%
Physicians Health Plan Advantage/Advantage Plus	$26 - $107	24%
Meritain Health	$34 - $975	32%
Multiplan	$40 - $1,148	37%
Blue Care Network	$43 - $175	40%
Cigna	$350 - $701	328%

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 $446.
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 Covenant Medical Center 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.