CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Cincinnati Children's Hospital Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $114
  • Cash Discount Price: $207
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Cincinnati Children's Hospital Medical Center is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $207. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.07x the Medicare baseline. Located in 3333 Burnet Avenue, Cincinnati, OH.
Cash / Self-Pay
$207

Average discount available for prompt cash payment at this facility.

Insurance Median
$114

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: $207 (194%)
Insurance Median: $114 (107%)
Cash: $207 (194% of Medicare)
Ins. Median: $114 (107% 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 $18 - $640 17%
Blue Cross Blue Shield $18 - $663 17%
Mhs_In $18 - $85 17%
Caresource_In $19 - $89 18%
Humana $19 - $168 18%
Passport_Ky $19 - $175 18%
United_Health_Care_Ky $19 - $178 18%
Wellcare_Ky $19 - $177 18%
Caresource_Oh $34 - $146 32%
Amerihealth_Caritas_Oh $35 - $157 33%
Molina_Oh $35 - $160 33%
Buckeye_Oh $37 - $168 35%
United_Health_Care_Oh $40 - $154 37%
Caresource_Oh_Insurance $65 - $324 61%
Medical_Mutual_Of_Ohio_Insurance $73 - $640 68%
Parkview_Signature_Care_Insurance $83 - $526 78%
Point_Comfort_Insurance $88 - $438 82%
Margaret_Mary_Health_Insurance $90 - $526 84%
United_Health_Care_Insurance $104 - $604 97%
Beechstreet_Insurance $110 - $661 103%
Cigna $110 - $640 103%
Health_Ohio_Network_Insurance $124 - $640 116%
Custom_Design_Benefits_Insurance $129 - $640 121%
Health_Smart_Preferred_Insurance $129 - $640 121%
Medical_Benefit_Administrators_Insurance $129 - $640 121%
Ohio_Health_Choice_Insurance $129 - $640 121%
Private_Health_Care_Systems_Insurance $131 - $647 123%
First_Health_Group_Insurance $133 - $661 125%
Health_Link_Insurance $133 - $661 125%
Evolutions_Health_Care_Systems $136 - $674 127%
Galaxy_Health_Insurance $136 - $674 127%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 Burnet Avenue, Cincinnati, OH 45229
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens