CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: The Children's Mercy Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $62
Cash Discount Price: $459
vs. Medicare Baseline: 0.58x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at The Children's Mercy Hospital is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $459. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.58x the Medicare baseline. Located in 2401 Gillham Road, Kansas City, MO.

Cash / Self-Pay

$459

Average discount available for prompt cash payment at this facility.

Insurance Median

$62

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: $459 (430%)

Insurance Median: $62 (58%)

Cash: $459 (430% of Medicare)

Ins. Median: $62 (58% 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.

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	$23 - $1,230	22%
Cigna	$25 - $1,273	23%
Healthy Blue	$25 - $273	23%
Medicaid / KanCare	$25 - $70	23%
Home State Health	$31 - $240	29%
Healthlink	$34 - $1,611	32%
Wppa Providrs Care	$35 - $1,190	33%
Health Midwest Comprehensive Care	$37 - $1,192	35%
American Healthcare Alliance	$38 - $1,556	36%
Quiktrip	$38 - $1,192	36%
Blue Cross Blue Shield	$40 - $1,355	37%
Medica	$47 - $1,067	44%
Multiplan	$48 - $1,392	45%
Aetna	$49 - $1,245	46%
Humana	$51 - $1,218	48%
Wellfit/Centrus	$51 - $1,190	48%
Centivo	$52 - $1,190	49%
Orscheln	$52 - $1,190	49%
Nebraska Furniture Mart	$53 - $1,190	50%
Mercy Health	$59 - $1,373	55%
Coxhealth Network	$60 - $1,355	56%
Coventry Health Care Of Kansas	$62 - $1,355	58%
National Preferred Provider Network	$71 - $1,648	66%

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 $459.
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 The Children's Mercy Hospital 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.