CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Lee's Summit Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $315
Cash Discount Price: $1,473
vs. Medicare Baseline: 2.95x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Lee's Summit Medical Center is $315. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,473. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.95x the Medicare baseline. Located in 2100 Se Blue Parkway, Lees Summit, MO.

Cash / Self-Pay

$1,473

Average discount available for prompt cash payment at this facility.

Insurance Median

$315

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: $1,473 (1379%)

Insurance Median: $315 (295%)

Cash: $1,473 (1379% of Medicare)

Ins. Median: $315 (295% 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 295% of the Medicare baseline (a markup of 195%). 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
United	$60 - $709	56%
Healthyblue	$61	57%
Aetna	$62 - $804	58%
Amerigroup	$62	58%
Medicaid / KanCare	$62	58%
Unicare	$62	58%
Home State Health Plan	$63	59%
Multiplan	$117 - $1,166	110%
Cigna	$122 - $1,260	114%
Corvel Corporation	$138 - $1,024	129%
Oha Network	$144 - $788	135%
Humana	$164 - $212	154%
Blue Cross Blue Shield	$166 - $678	155%
Ambetter / Centene	$255 - $293	239%
Nhc Advantage	$260 - $299	243%
Wppa Providrs Care Network	$274 - $315	257%
Universal Healthcare	$480 - $551	449%
Coventry	$551 - $633	516%
Coventry Kc Mo	$562 - $646	526%
College Park Family Care Center	$589 - $678	551%
Focus Healthcare Mgmt, Inc	$1,028 - $1,182	962%
Cco, Inc.	$1,165 - $1,339	1091%

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 $1,473.
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 Lee's Summit Medical Center 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.