CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Union Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $105
  • Cash Discount Price: $441
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Union Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $441. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.98x the Medicare baseline. Located in 659 Boulevard, Dover, OH.
Cash / Self-Pay
$441

Average discount available for prompt cash payment at this facility.

Insurance Median
$105

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: $441 (413%)
Insurance Median: $105 (98%)
Cash: $441 (413% of Medicare)
Ins. Median: $105 (98% 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
Summacare $16 - $644 15%
Aetna $25 - $920 23%
Blue Cross Blue Shield $25 - $362 23%
Cigna $25 - $306 23%
Humana $25 - $98 23%
The Health Plan $25 - $584 23%
United $25 - $335 23%
Valor $25 - $98 23%
Mmo $26 - $644 24%
Aultcare $27 - $306 25%
Communicare $27 - $103 25%
Perennial Health $27 - $106 25%
Pphp $27 - $108 25%
Cc Ehp $28 - $507 26%
Zing Health $28 - $108 26%
Buckeye $63 - $86 59%
Molina $63 - $90 59%
Oscar $64 - $261 60%
Caresource $66 - $86 62%
Amerihealth $69 - $94 65%
Ohcp $94 - $358 88%
UnitedHealthcare $95 - $98 89%
Devoted Health $98 92%
Upmc $98 - $552 92%
Omas $120 - $460 112%
Healthsmart $133 - $506 125%
Phphi $145 - $552 136%
Gms $169 - $644 158%
Consociate Health $181 - $690 169%
Multiplan $217 - $828 203%
Amish Community Aid Plan $306 - $340 286%
Ohio Healthy $367 344%
Php $407 381%
Medical Benefit Corp $475 445%
Frontpath $611 572%
Managed Care Services $611 572%
Tertiary Care Network $611 572%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 659 Boulevard, Dover, OH 44622
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals