CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Akron Children's Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $161
  • Cash Discount Price: $509
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Akron Children's Hospital is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $509. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.51x the Medicare baseline. Located in 1 Perkins Square, Akron, OH.
Cash / Self-Pay
$509

Average discount available for prompt cash payment at this facility.

Insurance Median
$161

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: $509 (477%)
Insurance Median: $161 (151%)
Cash: $509 (477% of Medicare)
Ins. Median: $161 (151% 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 $19 - $1,106 18%
Amerihealth Caritas Ohio $20 - $140 19%
Blue Cross Blue Shield $20 - $1,272 19%
Buckeye Community Health Plan $20 - $136 19%
Caresource $20 - $133 19%
Humana $20 - $1,196 19%
Molina $20 - $136 19%
UnitedHealthcare $20 - $1,106 19%
Mmo $41 - $1,268 38%
Autlcare $98 - $1,016 92%
Summacare $102 - $1,055 95%
Cenpatico $136 127%
Cigna $138 - $1,110 129%
Healthplan (Hometown) $437 409%
Northern Ohio Handicapped Fund (Nohf $463 433%
Ohio Crippled Childrens Fund (Occf $463 433%
Amish Church Fund $643 602%
Medben $977 915%
Summa Health Employee $1,003 939%
Summacare Preferred Choice Network $1,012 947%
The Health Plan (Mountaineer Region) $1,035 969%
Avita-Osu Health Plan $1,055 988%
The Health Plan (Fna Hometown Health Network) $1,080 1011%
Healthsmart (Fna Emerald Health Network) $1,125 1053%
Embs/Thomas Steel $1,132 1060%
Ohio Health Choice $1,132 1060%
Phcs/Multiplan $1,132 1060%
Enterprise Group Planning $1,157 1083%
Prime Health Services $1,157 1083%
Primenet $1,157 1083%
Quality Care Partners $1,157 1083%
Beechstreet $1,196 1120%
Ohio Preferred Network $1,196 1120%
Paramount $1,196 1120%
Cofinity $1,209 1132%
Health Reach Ohio Health Group $1,209 1132%
Direct Care America $1,222 1144%
First Health Network $1,222 1144%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1 Perkins Square, Akron, OH 44308
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Childrens