CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Uhhs Memorial Hospital of Geneva

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $616
  • Cash Discount Price: $764
  • vs. Medicare Baseline: 5.77x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Uhhs Memorial Hospital of Geneva is $616. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $764. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.77x the Medicare baseline. Located in 870 West Main Street, Geneva, OH.
Cash / Self-Pay
$764

Average discount available for prompt cash payment at this facility.

Insurance Median
$616

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: $764 (715%)
Insurance Median: $616 (577%)
Cash: $764 (715% of Medicare)
Ins. Median: $616 (577% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 577% of the Medicare baseline (a markup of 477%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
University Health Employee Plan (Contigo) $161 151%
Aetna $204 - $363 191%
Blue Cross Blue Shield $204 - $972 191%
Cigna $204 - $751 191%
Devoted Health $204 191%
Humana $204 191%
Medical Mutual Of Ohio $204 - $1,019 191%
Molina $204 191%
Primetime Health Plan $204 191%
Summacare $204 - $520 191%
The Health Plan $204 - $673 191%
UnitedHealthcare $204 - $937 191%
Wellcare By Allwell $204 191%
Paramount $210 197%
Perennial Advantage Of Ohio $214 200%
Valor Health Plans $214 200%
Ambetter / Centene $367 344%
Caresource $367 344%
Amish Aid Community Plan $415 - $469 389%
Amish Church Fund And Workers Aid Plan $415 - $469 389%
Buckeye Plain Ministries $415 - $469 389%
Jp Farley $479 448%
Clarity $489 458%
Christian Healthcare Ministries $510 477%
Immergrun $510 477%
Sunrise Plan Communities $510 477%
Aultcare $560 524%
Healthsmart $662 620%
Ohio Health Choice $662 - $917 620%
Beech Street $815 - $917 763%
Ohio Preferred Network $815 - $917 763%
First Health $846 792%
Century Health Network $866 811%
Private Healthcare System $876 820%
Configurenet $917 859%
Fortified Provider Network $917 859%
Multiplan $917 859%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 870 West Main Street, Geneva, OH 44041
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals