CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Mercy Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $108
  • Cash Discount Price: $441
  • vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Mercy Medical Center is $108. 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 1.01x the Medicare baseline. Located in 1320 Mercy Drive Nw, Canton, OH.
Cash / Self-Pay
$441

Average discount available for prompt cash payment at this facility.

Insurance Median
$108

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: $108 (101%)
Cash: $441 (413% of Medicare)
Ins. Median: $108 (101% 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 - $435 23%
Cigna $25 - $230 23%
Humana $25 - $98 23%
The Health Plan $25 - $679 23%
United $25 - $262 23%
Mmo $26 - $644 24%
Communicare $27 - $103 25%
Perennial Health $27 - $106 25%
Zing Health $28 - $108 26%
Aultcare $29 - $278 27%
Oscar $64 - $261 60%
Caresource $65 - $81 61%
Buckeye $66 - $81 62%
Amerihealth $69 - $87 65%
Molina $69 - $83 65%
Ohcp $94 - $358 88%
Omas $120 - $460 112%
Phphi $145 - $552 136%
Gms $169 - $644 158%
Immergrun $181 - $690 169%
Multiplan $217 - $828 203%
Cc Ehp $271 - $275 254%
Amish Community Aid Plan $306 - $340 286%
Ohio Healthy $367 344%
Php $407 381%
Medical Benefit Corp $475 445%
Consociate Health $509 477%
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: 1320 Mercy Drive Nw, Canton, OH 44708
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals