CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: University of Missouri Health Care

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $435
Cash Discount Price: $659
vs. Medicare Baseline: 4.07x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at University of Missouri Health Care is $435. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $659. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.07x the Medicare baseline. Located in One Hospital Drive, Columbia, MO.

Cash / Self-Pay

$659

Average discount available for prompt cash payment at this facility.

Insurance Median

$435

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: $659 (617%)

Insurance Median: $435 (407%)

Cash: $659 (617% of Medicare)

Ins. Median: $435 (407% 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 407% of the Medicare baseline (a markup of 307%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$101 - $470	95%
Aetna	$103 - $922	96%
American Health Management	$103	96%
Blue Cross Blue Shield	$103 - $658	96%
Humana	$103	96%
Wellcare	$103	96%
Provider Partners Health Plan	$105	98%
Healthy Blue	$136	127%
Medica With Mu Health	$136	127%
United Community	$136	127%
Home State	$145	136%
Coventry Health Plan	$158	148%
Healthlink	$323 - $649	302%
Immergun	$349 - $419	327%
Coventry Health Plan National	$748 - $898	700%
Mercy	$748 - $898	700%
Cox Health Network	$798 - $958	747%
Cigna	$848 - $1,018	794%
Multiplan	$878 - $1,054	822%

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 $659.
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 University of Missouri Health Care 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.