CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Mercy Hospital Southeast

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $102
  • Cash Discount Price: $437
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Mercy Hospital Southeast is $102. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $437. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.95x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$437

Average discount available for prompt cash payment at this facility.

Insurance Median
$102

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: $437 (409%)
Insurance Median: $102 (95%)
Cash: $437 (409% of Medicare)
Ins. Median: $102 (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.

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 $19 - $183 18%
Blue Cross Blue Shield $60 - $1,157 56%
Imagine 360 Contracted [320494] $67 63%
Aetna $79 - $780 74%
First Health Contracted [320128] $81 - $780 76%
Health Alliance Contracted [320164] $83 - $792 78%
Aither Health Contracted [320449] $86 - $828 81%
Edison Health Solutions Contracted [320502] $86 - $828 81%
Healthlink Contracted [320179] $86 - $950 81%
Mercy Benefit Admin Contracted [320251] $86 - $828 81%
Mercy Benefit Admin [20251] $86 - $828 81%
Yuzu Health Contracted [320521] $86 - $828 81%
Workers Comp [20426] $95 - $974 89%
Cross Timbers Hospice [20098] $100 94%
Dept Of Veteran Affairs Contracted [320106] $100 94%
Elara Caring Aspire Hospice Contracted [320433] $100 94%
Elara Caring Aspire Hospice [20433] $100 94%
Halo Hcr Inc Hospice Contracted [320432] $100 94%
Halo Hcr Inc Hospice [20432] $100 94%
Humana $100 - $1,035 94%
Kindful Hospice Contracted [320434] $100 94%
Kindful Hospice [20434] $100 94%
Medicare (plans) $100 - $105 94%
Mercy Hospice Okc [20252] $100 94%
Pace Of The Ozarks Contracted [320518] $100 94%
Tricare $100 94%
Ambetter / Centene $102 95%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $102 95%
Home State Health Plan Contracted [320187] $102 95%
Hope Trust Contracted [320488] $102 95%
Multiplan Contracted [320270] $102 - $974 95%
Private Health Care Systems Contracted [320320] $102 - $974 95%
UnitedHealthcare $102 - $686 95%
Provider Partners Health Plans Contracted [320450] $115 108%
Consociate Consolidated Health Contracted [320490] $140 - $225 131%
Auxiant Contracted [320462] $168 - $200 157%
Centivo Contracted [320505] $168 157%
Ebms Contracted [320493] $168 157%
Reflect Health Contracted [320492] $174 163%
Preferred Health Plan Contracted [320522] $178 167%
Cigna $406 380%
United Medical Resources Contracted [320454] $686 642%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals