CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Mid-Columbia Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $131
Cash Discount Price: $240
vs. Medicare Baseline: 1.23x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Mid-Columbia Medical Center is $131. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $240. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.23x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.

Cash / Self-Pay

$240

Average discount available for prompt cash payment at this facility.

Insurance Median

$131

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: $240 (225%)

Insurance Median: $131 (123%)

Cash: $240 (225% of Medicare)

Ins. Median: $131 (123% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$26 - $2,072	24%
Community Hp Mcr Adv - All Plans	$26 - $124	24%
Molina Mcr Adv	$26 - $124	24%
Tricare	$26 - $124	24%
Va Ccn Triwest - All Plans	$26 - $124	24%
Healthnet Mcr Adv	$27 - $127	25%
Humana	$27 - $131	25%
Moda Mcr Adv	$27 - $124	25%
Devoted Mcr Adv - All Plans	$28 - $702	26%
Employee Health Plan - All Plans	$29 - $224	27%
Molina - All Other Plans	$29 - $137	27%
Aetna	$31 - $600	29%
Healthnet - All Other Plans	$38	36%
Cigna	$44 - $612	41%
Multiplan/Phcs - All Plans	$44 - $618	41%
Coventry - All Plans	$50 - $585	47%
First Choice - All Plans	$50 - $618	47%
Providence Ppo - All Plans	$53 - $618	50%
Moda Health Plan - All Other Plans	$55 - $429	51%
Molina Mcaid	$183 - $338	171%
Norocor - All Plans	$325	304%
Amerigroup Mcaid - All Plans	$338 - $351	316%
Coordinated Care Mcaid - All Plans	$338 - $351	316%
UnitedHealthcare	$338 - $618	316%
Healthscape - All Plans	$520	487%
First Health - All Plans	$578	541%
Pacific Source - All Plans	$598	560%
Trpn - Three Rivers - All Plans	$618	579%
Ahp - Americas Hlth Plan - All Plans	$630	590%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $240.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76536.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Mid-Columbia Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76536.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.