CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Saratoga Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $124
  • Cash Discount Price: $235
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Saratoga Hospital is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $235. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.16x the Medicare baseline. Located in 211 Church Street, Saratoga Springs, NY.
Cash / Self-Pay
$235

Average discount available for prompt cash payment at this facility.

Insurance Median
$124

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: $235 (220%)
Insurance Median: $124 (116%)
Cash: $235 (220% of Medicare)
Ins. Median: $124 (116% 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 $28 - $267 26%
Cdphp $69 - $423 65%
Blue Cross Blue Shield $76 - $348 71%
Fidelis $76 - $423 71%
Medicare (plans) $76 - $101 71%
Medicaid / KanCare $77 - $103 72%
Blue Shield $90 - $361 84%
Hamaspik $95 - $442 89%
Tricare $97 - $101 91%
Mvp Commercial $99 - $382 93%
Emblem Health Ghi $101 - $111 95%
UnitedHealthcare $101 - $490 95%
Mvp $102 - $192 95%
Emblem $126 - $161 118%
Blue Shield Highmark $130 - $315 122%
Nascentia Health Options $156 146%
Cigna $159 - $192 149%
Mvp Essential Plan $188 - $376 176%
Mvp Govt Programs $188 176%
Empire Plan Nyship $298 - $382 279%
Multiplan $319 - $463 299%
Magnacare $382 - $518 358%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 Church Street, Saratoga Springs, NY 12866
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals