CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Munson Healthcare Manistee Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $104
Cash Discount Price: $876
vs. Medicare Baseline: 0.97x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Munson Healthcare Manistee Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $876. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.97x the Medicare baseline. Located in 1465 E Parkdale Ave, Manistee, MI.

Cash / Self-Pay

$876

Average discount available for prompt cash payment at this facility.

Insurance Median

$104

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: $876 (820%)

Insurance Median: $104 (97%)

Cash: $876 (820% of Medicare)

Ins. Median: $104 (97% 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
Blue Cross Blue Shield	$17 - $517	16%
Mclaren Health Plan	$17 - $773	16%
Meridian	$17 - $54	16%
Molina	$17 - $112	16%
Priority Health	$17 - $288	16%
UnitedHealthcare	$17 - $928	16%
Aetna	$26 - $891	24%
Hap (Health Alliance Plan)	$26 - $825	24%
Humana	$26 - $104	24%
Medicare (plans)	$26 - $104	24%
Michigan Amish Medical Board	$26 - $104	24%
Northern Michigan Mennonite Group	$26 - $104	24%
Prime Health Services	$26 - $949	24%
Wellcare Meridian	$26 - $104	24%
Cofinity	$36 - $907	34%
Provider Network Of America	$36 - $876	34%
Asr/Physicians Care	$39 - $825	37%
Cigna	$40 - $288	37%
Nomi Health	$41 - $825	38%
Employee Benefits Logistics	$44 - $177	41%
Hospice Of Michigan	$619	580%
Munson Hospice	$722 - $852	676%
Enterprise Group Planning/Employee Benefits Plan	$825	772%
Medical Cost Savings Solution	$825	772%
Three Rivers Provider Network	$876	820%
Multiplan	$907	849%
Great West Healthcare	$928	869%

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 $876.
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 Munson Healthcare Manistee Hospital 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.