CMS Price Transparency Data
Ultrasound, thyroid and neck
Facility: Chelsea Hospital
Billing Code: 76536 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76536
- Insurance Median: $559
- Cash Discount Price: $546
- vs. Medicare Baseline: 5.23x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Chelsea Hospital is $559. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $546. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.23x the Medicare baseline. Located in 775 S Main St, Chelsea, MI.
Cash / Self-Pay
$546
Average discount available for prompt cash payment at this facility.
Insurance Median
$559
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: $546 (511%)
Insurance Median: $559 (523%)
Cash: $546 (511% of Medicare)
Ins. Median: $559 (523% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 523% of the Medicare baseline (a markup of 423%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $58 - $215 | 54% |
| Medicaid / KanCare | $58 - $60 | 54% |
| Aetna | $102 - $395 | 95% |
| Blue Care Network Advantage | $102 | 95% |
| Medicare (plans) | $102 - $105 | 95% |
| Align Senior Care | $105 | 98% |
| Angela Hospice | $105 | 98% |
| Arbor Hospice | $105 | 98% |
| Heartland Hospice | $105 | 98% |
| UnitedHealthcare | $108 - $564 | 101% |
| Cca - Zing Health | $111 | 104% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $118 | 110% |
| Molina Marketplace | $136 | 127% |
| Health Cost Solutions | $162 | 152% |
| Vitalcore | $162 | 152% |
| Wellpath | $162 | 152% |
| Priority Health | $165 - $183 | 154% |
| Asr Health Benefits | $202 | 189% |
| Caresource | $202 | 189% |
| Hap | $202 - $653 | 189% |
| Varipro | $202 | 189% |
| Bcn Domestic | $215 | 201% |
| Blue Benefit Administrators Of Massachusetts | $215 | 201% |
| Blue Care Network | $215 | 201% |
| Blue Distinction Transplant | $215 | 201% |
| Blue Shield - Ca | $215 | 201% |
| Blue Shield - Id (Regence) | $215 | 201% |
| Blue Shield - Ny Highmark Northeastern | $215 | 201% |
| Blue Shield - Ny Highmark Western | $215 | 201% |
| Blue Shield - Pa (Highmark) | $215 | 201% |
| Blue Shield - Wa (Regence) | $215 | 201% |
| Health Choices | $215 - $559 | 201% |
| Kaiser Domestic | $215 | 201% |
| Wc Accident Fund | $222 | 208% |
| Wc Advantage | $222 | 208% |
| Wc Aig | $222 | 208% |
| Wc Allied | $222 | 208% |
| Wc Amerisure | $222 | 208% |
| Wc Amtrust | $222 | 208% |
| Wc Asu Risk Mgt | $222 | 208% |
| Wc Berkley Admin | $222 | 208% |
| Wc Broadspire | $222 | 208% |
| Wc Bunch & Associates | $222 | 208% |
| Wc Ccmsi | $222 | 208% |
| Wc Emc Insurance Company | $222 | 208% |
| Wc Esis | $222 | 208% |
| Wc Fcci | $222 | 208% |
| Wc Federated | $222 | 208% |
| Wc Gallagher Bassett | $222 | 208% |
| Wc Genex Care For Ohio | $222 | 208% |
| Wc Guard Insurance Company | $222 | 208% |
| Wc Hartford | $222 | 208% |
| Wc Liberty Mutual | $222 | 208% |
| Wc Meijers | $222 | 208% |
| Wc Michigan | $222 | 208% |
| Wc Mitchell Frankenmuth | $222 | 208% |
| Wc Pma | $222 | 208% |
| Wc Sedgwick | $222 | 208% |
| Wc Sentry | $222 | 208% |
| Wc Travelers | $222 | 208% |
| Wc Tristar | $222 | 208% |
| Wc Walmart | $222 | 208% |
| Wc Zurich | $222 | 208% |
| Employee Benefit Logistic | $235 | 220% |
| U Of M Health Plan | $238 | 223% |
| Geha | $294 - $564 | 275% |
| Meritain | $294 | 275% |
| Access Health | $559 | 523% |
| Acclaim | $559 | 523% |
| Administrative Concepts | $559 | 523% |
| Allegeant | $559 | 523% |
| Ameriben | $559 | 523% |
| American Family | $559 | 523% |
| American Healthcare Alliance | $559 | 523% |
| American National | $559 | 523% |
| American Republic | $559 | 523% |
| Amerihealth | $559 | 523% |
| Aultcare | $559 | 523% |
| Automated Benefit Services | $559 | 523% |
| Auxiant | $559 | 523% |
| Benefit Administrative Systems,Llc | $559 | 523% |
| Boon Chapman | $559 | 523% |
| Cam Administrative Services | $559 | 523% |
| Christian Brother Services | $559 | 523% |
| Christian Brothers Holy Cross | $559 | 523% |
| Comprehensive Benefits | $559 | 523% |
| Continental Life Insurance | $559 | 523% |
| Custom Benefit Administrators | $559 | 523% |
| Employee Benefit Concepts | $559 | 523% |
| Employee Benefit Management | $559 | 523% |
| Enterprise Group Planning | $559 | 523% |
| Freedom Life Insurance Company | $559 | 523% |
| Group Administrators | $559 | 523% |
| Group Marketing Services | $559 | 523% |
| Guardian | $559 | 523% |
| Health America | $559 | 523% |
| Healthcare Management Admin | $559 | 523% |
| Healthez | $559 | 523% |
| Humana | $559 | 523% |
| Insight | $559 | 523% |
| Intercare | $559 | 523% |
| Jfp Benefit Management | $559 | 523% |
| Jp Farley Corporation | $559 | 523% |
| Key Benefit Administrator | $559 | 523% |
| Liberty Union Life Assurance Co | $559 | 523% |
| Lucent Health | $559 | 523% |
| Luminare Health | $559 | 523% |
| Luminare Health (Detroit) | $559 | 523% |
| Magnacare | $559 | 523% |
| Medben | $559 | 523% |
| Medcost | $559 | 523% |
| Medical Mutual | $559 | 523% |
| Mutual Health Services | $559 | 523% |
| Mutual Of Omaha | $559 | 523% |
| Ncas | $559 | 523% |
| Nippon Life Ins | $559 | 523% |
| Nova | $559 | 523% |
| Painters Union Insurance Fund | $559 | 523% |
| Physicians Mutual | $559 | 523% |
| Plumbers Local 98 Insurance Fund | $559 | 523% |
| Prairie States | $559 | 523% |
| Preferred One | $559 | 523% |
| Primary Physician Care | $559 | 523% |
| Professional Benefit Administrators | $559 | 523% |
| Siho Insurance Services | $559 | 523% |
| Sisco Benefits | $559 | 523% |
| The Loomis Company | $559 | 523% |
| Unicare | $559 | 523% |
| Us Health And Life | $559 | 523% |
| Valenz | $559 | 523% |
| Western & Southern Financial Group | $559 | 523% |
| Wps | $559 | 523% |
| Coventry | $574 | 537% |
| First Health | $574 | 537% |
| Hospice Of Michigan | $588 | 551% |
| Cigna | $593 | 555% |
| 1199 National Benefit Fund | $630 | 590% |
| Allied National Global Care | $630 | 590% |
| Asrm - Reliance Standard Life Insurance | $630 | 590% |
| Christian Care Ministry | $630 | 590% |
| Dean Health | $630 | 590% |
| Fallon Health | $630 | 590% |
| Family Life Insurance Company | $630 | 590% |
| Ghc Scw | $630 | 590% |
| Group Pension Administrators | $630 | 590% |
| International Benefit Administrators | $630 | 590% |
| Lifetime Benefit Solutions | $630 | 590% |
| Manhattan Life | $630 | 590% |
| Medi Share | $630 | 590% |
| Multiplan | $630 | 590% |
| Mvp | $630 | 590% |
| Pai | $630 | 590% |
| Pan-American Life | $630 | 590% |
| Paramount Hmo | $630 | 590% |
| Phcs | $630 | 590% |
| Trinity Health Share | $630 | 590% |
| Health Partners | $653 | 611% |
| Tufts Health Plan | $653 | 611% |
| Prime Health Services | $672 | 629% |
| Three Rivers Provider Network | $756 | 708% |
| Cmh Detroit Wayne Integrated Health Network | $840 | 786% |
| Cmh Jackson County/Lifeways | $840 | 786% |
| Cmh Lenawee County | $840 | 786% |
| Cmh Livingston County | $840 | 786% |
| Cmh Misc | $840 | 786% |
| Cmh Monroe County | $840 | 786% |
| Cmh Washtenaw County | $840 | 786% |
| Magellan Behavioral Health | $840 | 786% |