CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Columbia Memorial Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $111
Cash Discount Price: $122
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Columbia Memorial Hospital is $111. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.

Cash / Self-Pay

$122

Average discount available for prompt cash payment at this facility.

Insurance Median

$111

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: $122 (114%)

Insurance Median: $111 (104%)

Cash: $122 (114% of Medicare)

Ins. Median: $111 (104% 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	$11 - $178	10%
Mvp	$19 - $389	18%
Cdphp	$20 - $417	19%
Medicare (plans)	$21 - $117	20%
Blue Cross Blue Shield	$24 - $343	22%
Medicaid / KanCare	$24 - $185	22%
Tricare	$24 - $117	22%
Emblem Health Ghi	$26 - $111	24%
Fidelis	$26 - $417	24%
Hamaspik	$26 - $252	24%
Aetna	$29 - $320	27%
Blue Shield Highmark	$30 - $131	28%
Cigna	$37 - $158	35%
Emblem	$161 - $268	151%
Magnacare	$181 - $214	169%
Blue Shield	$183	171%
Herrington Diversified Pdh	$189	177%
Empire Plan Nyship	$200 - $223	187%
Multiplan	$212 - $861	198%
Mvp Commercial	$235 - $327	220%

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 $122.
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 Columbia 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.