CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Neshoba County General Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $109
  • Cash Discount Price: $197
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Neshoba County General Hospital is $109. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.02x the Medicare baseline. Located in 1001 Holland Ave, Philadelphia, MS.
Cash / Self-Pay
$197

Average discount available for prompt cash payment at this facility.

Insurance Median
$109

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: $197 (184%)
Insurance Median: $109 (102%)
Cash: $197 (184% of Medicare)
Ins. Median: $109 (102% 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
Tricare $87 81%
Magnolia Mcaid $90 84%
Molina Mcaid $90 84%
Mpcn Mcaid $90 84%
UnitedHealthcare $90 - $369 84%
Humana $97 91%
Magnolia Mcr Adv-All Other Plans $97 91%
Molina Comm-All Other Plans $97 91%
Molina Mcr Adv $97 91%
Wellcare Mcr Adv-All Plans $97 91%
First Choice Comm Ip/Op Only - All Plans $121 113%
Aetna $141 132%
Ahs Ip/Op Only-All Plans $169 158%
Blue Cross Blue Shield $175 164%
Cigna $183 171%
Affordable Health Care-All Plans $240 225%
Health Choice Ip/Op Only-All Plans $240 225%
Health Link Ip/Op Only-All Plans $240 225%
Geha-All Plans $254 238%
Multiplan-All Plans $254 238%
Mpcn Ip/Op Only-All Other Plans $352 330%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1001 Holland Ave, Philadelphia, MS 39350
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - CRITICAL ACCESS HOSPITAL