CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Christian Hospital Northeast

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $397
Cash Discount Price: $411
vs. Medicare Baseline: 3.72x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Christian Hospital Northeast is $397. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $411. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.72x the Medicare baseline. Located in 11133 Dunn Road, Saint Louis, MO.

Cash / Self-Pay

$411

Average discount available for prompt cash payment at this facility.

Insurance Median

$397

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: $411 (385%)

Insurance Median: $397 (372%)

Cash: $411 (385% of Medicare)

Ins. Median: $397 (372% 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 372% of the Medicare baseline (a markup of 272%). 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
Aetna	$105 - $514	98%
Blue Cross Blue Shield	$105 - $596	98%
Essence Healthcare [221]	$105	98%
Humana	$105 - $234	98%
UnitedHealthcare	$105 - $514	98%
Cox Health [757]	$110	103%
Devoted Health Plan [847]	$110	103%
Medica [662]	$110	103%
Allied Benefits [498]	$247 - $509	231%
Coresource [497]	$247	231%
Fmh Benefit Service Inc [222]	$247	231%
Mail Handlers [495]	$247	231%
Consociate [478]	$255	239%
Sarah Bush Lincoln [636]	$255	239%
Cigna	$257 - $548	241%
Apwu Health Plan [216]	$286	268%
Nalc Health Benefit Plan [242]	$286	268%
Priority Health [648]	$286	268%
Healthlink [225]	$332 - $517	311%
Cox Health Systems Insurance Company [220]	$377 - $445	353%
Health Alliance [224]	$377	353%
Hope Trust [806]	$397	372%
Med-Pay [480]	$445 - $514	417%
Unicare [568]	$445 - $517	417%
First Health Commercial [734]	$509	477%
Beechstreet [551]	$514	481%
Detego Health [868]	$514	481%
Health Systems Inc [620]	$514	481%
Healthcare Sol Mercy [609]	$514	481%
Healthscope Benefits [258]	$514	481%
Multiplan Commercial [737]	$514	481%
Multiplan [240]	$514	481%
Phcs [244]	$514 - $548	481%
Preferred Health Professionals [561]	$517	484%
Hfn [563]	$548	513%
Medica [661]	$548	513%

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 $411.
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 Christian Hospital Northeast 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.