CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Moberly Regional Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $451
  • Cash Discount Price: $543
  • vs. Medicare Baseline: 4.22x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Moberly Regional Medical Center is $451. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $543. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.22x the Medicare baseline. Located in 1515 Union Ave, Moberly, MO.
Cash / Self-Pay
$543

Average discount available for prompt cash payment at this facility.

Insurance Median
$451

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: $543 (508%)
Insurance Median: $451 (422%)
Cash: $543 (508% of Medicare)
Ins. Median: $451 (422% 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 422% of the Medicare baseline (a markup of 322%). 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.

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
Medicaid / KanCare $91 - $150 85%
Veterans Eval Services $92 86%
Tricare $106 99%
Medicare (plans) $110 103%
Node Va $112 105%
UnitedHealthcare $112 - $1,107 105%
Blue Cross Blue Shield $113 - $515 106%
Node Devoted Health Mcr Adv $116 109%
Centurion Correctional $140 131%
Corizon $140 131%
Us Department Of Labor $140 131%
Home State Health Plan $150 - $207 140%
Pathway/Pathway X $158 148%
Healthscope Benefits $188 176%
Naphcare $213 199%
Blue Preferred $219 205%
United Behavioral Health Mcd $289 271%
Self Pay $391 - $695 366%
Cigna $451 422%
Blue Access $520 487%
Access Health Services, Llc $941 881%
Aetna $952 - $1,158 891%
Healthlink $1,013 - $1,158 948%
Blue Traditional $1,034 - $1,082 968%
Multiplan Primary $1,085 1016%
Coventry Wc $1,158 1084%
Multiplan $1,172 1097%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Union Ave, Moberly, MO 65270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals