CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Kings County Hospital Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $206
  • Cash Discount Price: $126
  • vs. Medicare Baseline: 1.93x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Kings County Hospital Center is $206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.93x the Medicare baseline. Located in 451 Clarkson Avenue, Brooklyn, NY.
Cash / Self-Pay
$126

Average discount available for prompt cash payment at this facility.

Insurance Median
$206

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: $126 (118%)
Insurance Median: $206 (193%)
Cash: $126 (118% of Medicare)
Ins. Median: $206 (193% 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
Aetna $21 - $1,131 20%
Healthfirst $23 - $471 22%
Amidacare $29 - $209 27%
Emblem $29 - $648 27%
Wellcare $32 - $486 30%
Metroplus $38 - $471 36%
Fidelis $42 - $471 39%
Oscar $44 - $446 41%
Blue Cross Blue Shield $92 - $648 86%
Local 1199 $109 - $689 102%
Affinity $111 - $471 104%
Centerlight $126 - $405 118%
Elderplan $126 - $527 118%
Vaccn $126 118%
Vnsny $126 - $689 118%
Centers Plan For Healthy Living $131 123%
Hamaspik $132 124%
Oxford $147 - $486 138%
United $147 - $648 138%
Cigna $203 - $608 190%
Carelon $209 - $527 196%
Senior Whole Health $209 196%
United Behavioral Health $209 - $230 196%
Carelon (Amida Care) $213 199%
Magnacare $608 569%
Multiplan $648 607%
Villagecare Max $689 645%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 451 Clarkson Avenue, Brooklyn, NY 11203
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals