CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Queens Hospital Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $180
  • Cash Discount Price: $127
  • vs. Medicare Baseline: 1.69x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Queens Hospital Center is $180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $127. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.69x the Medicare baseline. Located in 82-68 164Th Street, Jamaica, NY.
Cash / Self-Pay
$127

Average discount available for prompt cash payment at this facility.

Insurance Median
$180

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: $127 (119%)
Insurance Median: $180 (169%)
Cash: $127 (119% of Medicare)
Ins. Median: $180 (169% 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 - $461 22%
Amidacare $29 - $205 27%
Emblem $29 - $277 27%
United $30 - $648 28%
Wellcare $31 - $135 29%
Metroplus $38 - $461 36%
Fidelis $42 - $461 39%
Oscar $43 - $189 40%
Blue Cross Blue Shield $92 - $648 86%
Local 1199 $109 - $689 102%
Affinity $110 - $461 103%
Centerlight $125 - $405 117%
Elderplan $125 - $527 117%
Vaccn $126 118%
Vnsny $126 - $689 118%
Centers Plan For Healthy Living $130 - $131 122%
Hamaspik $131 123%
Oxford $147 - $486 138%
Cigna $203 - $608 190%
Carelon $205 - $527 192%
Senior Whole Health $205 192%
United Behavioral Health $205 - $225 192%
Carelon (Amida Care) $209 196%
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: 82-68 164Th Street, Jamaica, NY 11432
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals