CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Cheshire Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $135
Cash Discount Price: $179
vs. Medicare Baseline: 1.26x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Cheshire Medical Center is $135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $179. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.26x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$179

Average discount available for prompt cash payment at this facility.

Insurance Median

$135

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: $179 (168%)

Insurance Median: $135 (126%)

Cash: $179 (168% of Medicare)

Ins. Median: $135 (126% 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
Amerihealth Caritas Nh	$21 - $240	20%
Wellsense Health Plan	$23 - $240	22%
Aetna	$27 - $770	25%
Ambetter / Centene	$28 - $99	26%
Blue Cross Blue Shield	$28 - $894	26%
Cigna	$28 - $640	26%
Granite State Health Plan	$28 - $240	26%
Martin'S Point Generations Advantage	$28 - $111	26%
Martin'S Point Health Care	$28 - $111	26%
Mvp	$28 - $640	26%
UnitedHealthcare	$28 - $855	26%
Wellcare Health Plans	$28 - $111	26%
Harvard Pilgrim Health Care Of Ne	$36 - $512	34%
Mass General Brigham Health Plan	$72 - $1,126	67%
Maine Community Health Options	$76 - $507	71%
Tufts Health Plan	$79 - $719	74%
First Health/Hcvm	$144 - $957	135%
Phcs	$153 - $1,013	143%

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 $179.
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 Cheshire Medical Center 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.