CMS Price Transparency Data
Ultrasound, thyroid and neck
Facility: Mercy Hospital Tishomingo Inc
Billing Code: 76536 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76536
- Insurance Median: $183
- Cash Discount Price: $198
- vs. Medicare Baseline: 1.71x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Mercy Hospital Tishomingo Inc is $183. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $198. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.71x the Medicare baseline. Located in 1000 South Byrd St, Tishomingo, OK.
Cash / Self-Pay
$198
Average discount available for prompt cash payment at this facility.
Insurance Median
$183
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: $198 (185%)
Insurance Median: $183 (171%)
Cash: $198 (185% of Medicare)
Ins. Median: $183 (171% 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 | $70 - $203 | 66% |
| Humana | $70 - $244 | 66% |
| Medicaid / KanCare | $70 - $92 | 66% |
| Ambetter / Centene | $92 | 86% |
| Home State Health Plan Contracted [320187] | $92 | 86% |
| Novasys Contracted [320285] | $92 | 86% |
| Blue Cross Blue Shield | $98 - $159 | 92% |
| Webtpa Contracted [320417] | $128 | 120% |
| Medicare (plans) | $141 - $195 | 132% |
| Cherokee Nation Health Serv Contracted [320066] | $147 | 138% |
| Cross Timbers Hospice [20098] | $147 | 138% |
| Dept Of Veteran Affairs Contracted [320106] | $147 | 138% |
| Elara Caring Aspire Hospice Contracted [320433] | $147 | 138% |
| Elara Caring Aspire Hospice [20433] | $147 | 138% |
| Halo Hcr Inc Hospice Contracted [320432] | $147 | 138% |
| Halo Hcr Inc Hospice [20432] | $147 | 138% |
| Independent Health [20197] | $147 | 138% |
| Indian Health Service Contracted [320198] | $147 | 138% |
| Kindful Hospice Contracted [320434] | $147 | 138% |
| Kindful Hospice [20434] | $147 | 138% |
| Medical Associates Health [20444] | $147 | 138% |
| Mercy Hospice Okc [20252] | $147 | 138% |
| Provider Partners Health Plans Contracted [320450] | $147 | 138% |
| Qual Choice Contracted [320325] | $147 | 138% |
| Tribute Health Plan Mcr Contracted [320338] | $147 | 138% |
| Tricare | $147 | 138% |
| UnitedHealthcare | $147 - $241 | 138% |
| Globalhealth Contracted [320145] | $150 | 140% |
| Cigna | $151 - $229 | 141% |
| Aither Health Contracted [320449] | $183 - $259 | 171% |
| Mercy Benefit Admin Contracted [320251] | $183 - $259 | 171% |
| Quik Trip Contracted [320447] | $183 | 171% |
| Show-Me Health Administrators Contracted [320483] | $183 | 171% |
| Medica Contracted [320239] | $195 | 183% |
| First Health Contracted [320128] | $203 | 190% |
| Osma Health Contracted [320292] | $214 | 200% |
| Benefit Management Contracted [320052] | $229 - $274 | 214% |
| Healthcare Highways Plus Contracted [320175] | $229 | 214% |
| Private Health Care Systems Contracted [320320] | $229 - $244 | 214% |
| Health Choice Contracted [320166] | $239 | 224% |
| United Medical Resources Contracted [320454] | $241 | 226% |
| Multiplan Contracted [320270] | $244 - $274 | 228% |
| Auxiant Contracted [320462] | $259 | 242% |
| Ebms Contracted [320493] | $259 | 242% |
| Healthlink Contracted [320179] | $259 | 242% |
| Imagine 360 Contracted [320494] | $259 | 242% |
| Preferred Community Choice Contracted [320311] | $259 | 242% |
| Reflect Health Contracted [320492] | $259 | 242% |
| Yuzu Health Contracted [320521] | $259 | 242% |