CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Ste Genevieve County Memorial Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $203
  • Cash Discount Price: $256
  • vs. Medicare Baseline: 1.90x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Ste Genevieve County Memorial Hospital is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $256. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.90x the Medicare baseline. Located in Hwys 61 & 32, Sainte Genevieve, MO.
Cash / Self-Pay
$256

Average discount available for prompt cash payment at this facility.

Insurance Median
$203

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: $256 (240%)
Insurance Median: $203 (190%)
Cash: $256 (240% of Medicare)
Ins. Median: $203 (190% 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
Blue Cross Blue Shield $52 - $602 49%
Medicare (plans) $52 - $203 49%
Va $52 - $203 49%
Aetna $53 - $626 50%
Allwell $53 - $207 50%
Pphp $60 - $234 56%
Ambetter / Centene $65 - $254 61%
Medicaid / KanCare $65 61%
Homestate $67 63%
Healthy_Blue $78 73%
Uhc_Community $78 73%
UnitedHealthcare $104 - $407 97%
Meritain $161 - $626 151%
Cigna $171 - $667 160%
Multiplan/Phcs $178 - $691 167%
Healthlink_Hmo $383 359%
Healthlink_Compmanagement $409 383%
Healthlink_Ppo $409 383%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Hwys 61 & 32, Sainte Genevieve, MO 63670
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals