CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Frances Mahon Deaconess Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $219
Cash Discount Price: $354
vs. Medicare Baseline: 2.05x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Frances Mahon Deaconess Hospital is $219. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $354. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.05x the Medicare baseline. Located in 621 3Rd St S, Glasgow, MT.

Cash / Self-Pay

$354

Average discount available for prompt cash payment at this facility.

Insurance Median

$219

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: $354 (331%)

Insurance Median: $219 (205%)

Cash: $354 (331% of Medicare)

Ins. Median: $219 (205% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 205% of the Medicare baseline (a markup of 105%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Ihs-All Plans	$26 - $290	24%
UnitedHealthcare	$26 - $598	24%
Blue Cross Blue Shield	$30 - $586	28%
Humana	$30 - $290	28%
Montana Co-Op-All Plans	$46 - $611	43%
Cigna	$52 - $598	49%
First Choice Health-All Plans	$126 - $598	118%
Allegiance Mt	$133 - $598	125%
Geha-All Plans	$146 - $611	137%
Interwest-All Plans	$146 - $598	137%
Health Infonet-All Plans	$149 - $598	140%
Multiplan-All Plans	$149 - $598	140%
Pacific Source-All Plans	$149 - $598	140%
Three Rivers-All Plans	$149 - $598	140%

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 $354.
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 Frances Mahon Deaconess 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.