CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Montefiore New Rochelle Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $84
  • Cash Discount Price: $638
  • vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Montefiore New Rochelle Hospital is $84. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $638. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.79x the Medicare baseline. Located in 16 Guion Place, New Rochelle, NY.
Cash / Self-Pay
$638

Average discount available for prompt cash payment at this facility.

Insurance Median
$84

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: $638 (597%)
Insurance Median: $84 (79%)
Cash: $638 (597% of Medicare)
Ins. Median: $84 (79% 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.

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
Amidacare $30 - $132 28%
Emblem $30 - $151 28%
Empire $30 - $126 28%
Fidelis $30 - $126 28%
Medicaid / KanCare $30 28%
Metroplus $30 - $164 28%
Molina Healthcare Of Ny Affinity $30 - $174 28%
Mvp $30 - $257 28%
UnitedHealthcare $30 - $245 28%
Wellcare $31 - $128 29%
Hamaspik $32 - $136 30%
Vnsny Choice $35 - $126 33%
Vnsny Select Health $35 33%
Healthfirst $84 - $126 79%
Villagecaremax $126 118%
Centerlight $130 122%
Partners_Health_Plan $132 124%
Humana $138 129%
Oscar $199 186%
Northwell $338 316%
Aetna $419 - $468 392%
Centivo $619 - $638 580%
Cigna $690 646%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16 Guion Place, New Rochelle, NY 10802
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals