CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Cleveland Clinic

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $169
  • Cash Discount Price: $441
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Cleveland Clinic is $169. 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 1.58x the Medicare baseline. Located in 9500 Euclid Avenue, Cleveland, OH.
Cash / Self-Pay
$441

Average discount available for prompt cash payment at this facility.

Insurance Median
$169

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: $169 (158%)
Cash: $441 (413% of Medicare)
Ins. Median: $169 (158% 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 - $324 15%
Aetna $25 - $920 23%
Blue Cross Blue Shield $25 - $577 23%
Devoted Health $25 - $99 23%
Humana $25 - $577 23%
The Health Plan $25 - $506 23%
United $25 - $262 23%
UnitedHealthcare $25 - $589 23%
Upmc $25 - $552 23%
Valor $25 - $99 23%
Cigna $26 - $736 24%
Communicare $27 - $104 25%
Perennial Health $27 - $106 25%
Pphp $27 - $108 25%
Zing Health $28 - $108 26%
Cc Ehp $48 - $424 45%
Oscar $64 - $261 60%
Paramount $65 - $105 61%
Buckeye $66 - $107 62%
Caresource $66 - $102 62%
Amerihealth $69 65%
Molina $69 - $107 65%
Mmo $82 - $644 77%
Ohcp $94 - $358 88%
Ohio Healthy $96 - $475 90%
Aultcare $104 - $396 97%
Amish Community Aid Plan $108 - $414 101%
United Bh $112 105%
Omas $120 - $460 112%
Healthsmart $133 - $506 125%
Phphi $145 - $552 136%
Clarity Health $157 - $598 147%
Gms $169 - $644 158%
Quality Care Partners $169 - $644 158%
Consociate Health $181 - $690 169%
Multiplan $217 - $828 203%
Three Rivers $217 - $828 203%
Usa Managed Care $217 - $828 203%
Php $407 381%
Medical Benefit Corp $475 445%
Parkview Health Plan $475 445%
Community Health Alliance $543 508%
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: 9500 Euclid Avenue, Cleveland, OH 44195
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals