CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $230
Cash Discount Price: $282
vs. Medicare Baseline: 2.15x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Mary Hitchcock Memorial Hospital is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $282. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.15x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$282

Average discount available for prompt cash payment at this facility.

Insurance Median

$230

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: $282 (264%)

Insurance Median: $230 (215%)

Cash: $282 (264% of Medicare)

Ins. Median: $230 (215% 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 215% of the Medicare baseline (a markup of 115%). 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
Wellsense Health Plan	$13 - $240	12%
Amerihealth Caritas Nh	$19 - $240	18%
Beacon Health Strategies/Carelon	$19 - $240	18%
Granite State Health Plan	$19 - $240	18%
Blue Cross Blue Shield	$26 - $1,076	24%
Martin'S Point Generations Advantage	$26 - $119	24%
Martin'S Point Health Care	$26 - $426	24%
Mvp	$26 - $827	24%
UnitedHealthcare	$26 - $948	24%
Aetna	$27 - $867	25%
Ambetter / Centene	$27 - $272	25%
Cigna	$27 - $847	25%
Wellcare Health Plans	$27 - $124	25%
Harvard Pilgrim Health Care Of Ne	$33 - $792	31%
Mass General Brigham Health Plan	$75 - $768	70%
Tufts Health Plan	$87 - $720	81%
Maine Community Health Options	$387 - $908	362%
Coventry	$529 - $1,074	495%
First Health/Hcvm	$529 - $1,074	495%
Phcs	$547 - $1,112	512%
Corvel	$559 - $1,136	523%
Ccmsi	$578 - $1,173	541%

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 $282.
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 Mary Hitchcock Memorial 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.