CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Ochsner Laird Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $113
Cash Discount Price: $153
vs. Medicare Baseline: 1.06x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Ochsner Laird Hospital is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $153. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.06x the Medicare baseline. Located in 25117 Highway 15, Union, MS.

Cash / Self-Pay

$153

Average discount available for prompt cash payment at this facility.

Insurance Median

$113

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: $153 (143%)

Insurance Median: $113 (106%)

Cash: $153 (143% of Medicare)

Ins. Median: $113 (106% 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
Prime Health Services Ppo -Workers Comp	$48 - $196	45%
Cor Vel	$49 - $200	46%
Humana	$69 - $232	65%
Select Administrative Services Network	$70 - $258	66%
Cigna	$75 - $232	70%
Medicaid / KanCare	$81 - $93	76%
Medicare (plans)	$84 - $267	79%
UnitedHealthcare	$84 - $232	79%
Ambetter / Centene	$85 - $234	80%
Magnolia Health Plan - Wellcare By All Well Of Mississippi	$85 - $234	80%
Aetna	$87 - $239	81%
Shared Health Mississippi	$89 - $243	83%
Blue Cross Blue Shield	$94 - $309	88%
Claritev D/B/A Multiplan/Phcs/American Life Care	$100 - $276	94%
Zelis	$100 - $279	94%
Prime Health Services Ppo	$107 - $294	100%
Primewell Health Services - Commercial	$113 - $309	106%
Primewell Health Services Commercial Exchange Plan	$113 - $309	106%

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 $153.
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 Ochsner Laird 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.