CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Ochsner Stennis Memorial Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $107
  • Cash Discount Price: $173
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Ochsner Stennis Memorial Hospital is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $173. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.00x the Medicare baseline. Located in 14365 Highway 16 West, De Kalb, MS.
Cash / Self-Pay
$173

Average discount available for prompt cash payment at this facility.

Insurance Median
$107

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: $173 (162%)
Insurance Median: $107 (100%)
Cash: $173 (162% of Medicare)
Ins. Median: $107 (100% 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
Prime Health Services Ppo -Workers Comp $48 - $196 45%
Cor Vel $49 - $200 46%
Humana $54 - $221 51%
UnitedHealthcare $68 - $188 64%
Select Administrative Services Network $70 - $258 66%
Cigna $77 - $221 72%
Medicare (plans) $80 - $254 75%
Ambetter / Centene $81 - $223 76%
Magnolia Health Plan – Wellcare By All Well Of Mississippi $81 - $223 76%
Medicaid / KanCare $81 - $93 76%
Shared Health Mississippi $84 - $232 79%
Aetna $87 - $239 81%
Primewell Health Services Commercial Exchange Plan $90 - $247 84%
Primewell Health Services – Commercial $90 - $247 84%
Claritev D/B/A Multiplan/Phcs/American Life Care $100 - $276 94%
Zelis $100 - $279 94%
Prime Health Services Ppo $107 - $294 100%
Blue Cross Blue Shield $143 - $351 134%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14365 Highway 16 West, De Kalb, MS 39328
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals