CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Poplar Bluff Regional Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $154
  • Cash Discount Price: $179
  • vs. Medicare Baseline: 1.44x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Poplar Bluff Regional Medical Center is $154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $179. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.44x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$179

Average discount available for prompt cash payment at this facility.

Insurance Median
$154

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: $179 (168%)
Insurance Median: $154 (144%)
Cash: $179 (168% of Medicare)
Ins. Median: $154 (144% 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 $15 - $375 14%
Self Pay $18 - $450 17%
Blue Cross Blue Shield $19 - $485 18%
Cigna $40 - $1,500 37%
Evolutions Healthcare $40 - $1,022 37%
Tyson Foods $40 - $1,031 37%
UnitedHealthcare $40 - $1,008 37%
Access Health Services, Llc $42 - $1,068 39%
Parker Hannifin $44 - $1,312 41%
Healthlink $46 - $1,172 43%
First Health $48 - $1,218 45%
Blue Traditional $54 - $1,446 51%
Coventry Wc $59 - $1,500 55%
Municipal Health $59 - $1,500 55%
Multiplan $64 - $1,631 60%
Phcs $64 - $1,631 60%
Compresults Wc $66 - $1,687 62%
Veterans Eval Services $74 - $92 69%
Node Champva $106 99%
Tricare $106 99%
Medicare (plans) $110 103%
Node United Behavioral Health Mcr Adv $110 103%
Humana $111 104%
Node Hospice Non Par Agree $112 105%
Node Va $112 105%
Node Ahs Mcr Adv $115 108%
Node Devoted Health Mcr Adv $116 109%
Node Pphp Mcr Adv $127 119%
Centurion Correctional $140 131%
Us Department Of Labor $140 131%
Naphcare $213 199%
Home State Exchange $280 262%
W W Wood $280 262%
Blue Access $384 360%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals