CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Inspira Medical Center Mullica Hill

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $123
Cash Discount Price: $571
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Inspira Medical Center Mullica Hill is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $571. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.15x the Medicare baseline. Located in 501 West Front Street, Elmer, NJ.

Cash / Self-Pay

$571

Average discount available for prompt cash payment at this facility.

Insurance Median

$123

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: $571 (535%)

Insurance Median: $123 (115%)

Cash: $571 (535% of Medicare)

Ins. Median: $123 (115% 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
UnitedHealthcare	$104 - $371	97%
Aetna	$115 - $4,257	108%
Fidelis Care of Nj	$115	108%
Braven Health	$118	110%
Clover Health	$118	110%
Horizon Nj Total Care	$118	110%
Medicare (plans)	$118	110%
Wellcare Dual Liberty	$118	110%
Wellpoint	$118	110%
Wellpoint Full Dual Advantage	$118	110%
Healthspring	$121	113%
Horizon Nj Health	$123	115%
Humana	$124	116%
Jefferson Health Plan	$126	118%
Amerihealth	$127	119%
Blue Cross Blue Shield	$127 - $419	119%
Ambetter / Centene	$241	226%
Oxford Health Plans	$371	347%
Cigna	$394	369%

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 $571.
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 Inspira Medical Center Mullica Hill 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.