CMS Price Transparency Data
Ultrasound, thyroid and neck
Facility: Hospital of Univ of Pennsylvania
Billing Code: 76536 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76536
- Insurance Median: $191
- Cash Discount Price: $1,512
- vs. Medicare Baseline: 1.79x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Hospital of Univ of Pennsylvania is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,512. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.79x the Medicare baseline. Located in 3400 Spruce St, Philadelphia, PA.
Cash / Self-Pay
$1,512
Average discount available for prompt cash payment at this facility.
Insurance Median
$191
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: $1,512 (1416%)
Insurance Median: $191 (179%)
Cash: $1,512 (1416% of Medicare)
Ins. Median: $191 (179% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Paired Kidney Exchange | $15 - $227 | 14% |
| Horizon Nj Health | $32 - $498 | 30% |
| Preferred Health Care Eliance | $42 - $623 | 39% |
| Pgm - Regie De L'Assurance Maladie Quebec | $44 - $651 | 41% |
| Medicaid / KanCare | $51 - $2,832 | 48% |
| Kaiser Permanente | $54 - $2,832 | 51% |
| Gspp And Wissahickon Hospice | $55 | 51% |
| Health Partners | $58 - $2,832 | 54% |
| Keystone Mercy Health Plan | $65 - $2,832 | 61% |
| Pgm - Kuwait Defense | $67 - $1,274 | 63% |
| Qualcare | $73 - $1,076 | 68% |
| Olympus | $75 - $1,113 | 70% |
| Coventry | $76 - $1,444 | 71% |
| Pa Medical Assistance | $76 - $2,832 | 71% |
| Pgm - Chop | $76 - $1,133 | 71% |
| Upmc | $76 - $2,832 | 71% |
| Wissahickon Hospice | $76 - $1,133 | 71% |
| UnitedHealthcare | $77 - $2,832 | 72% |
| Cigna | $86 - $1,274 | 81% |
| Healthamerica/Coventry | $86 - $1,388 | 81% |
| Blue Cross Blue Shield | $90 - $1,135 | 84% |
| Keystone Hmo Proactive | $90 | 84% |
| Ibc Commercial Hpn | $93 | 87% |
| First Health Global | $96 - $1,416 | 90% |
| Medicare (plans) | $110 - $112 | 103% |
| Philadelphia Va Medical Center | $110 | 103% |
| Tricare | $110 | 103% |
| Ibc | $112 | 105% |
| Geisinger Health Plan | $113 - $349 | 106% |
| Humana | $113 - $2,266 | 106% |
| Devoted Health | $115 | 108% |
| Health Net | $115 - $1,699 | 108% |
| Pa Health And Wellness | $115 - $181 | 108% |
| Penn Life (Living Independently For Elders) | $115 | 108% |
| Pgm - Royal Embassy Of Saudi Arabia | $115 - $1,699 | 108% |
| Aetna | $116 - $2,832 | 109% |
| Clover Health Plan | $119 | 111% |
| Keystone First | $122 | 114% |
| Pgm - Embassy Of Qatar | $124 - $1,841 | 116% |
| Pgm - Ontario Ministry Of Health And Long-Term Care (Ohip) | $124 - $1,841 | 116% |
| Us Family Health Plan | $126 | 118% |
| Interlink | $128 - $1,897 | 120% |
| Pgm - Embassy Of The United Emirates/Ipc | $134 - $1,982 | 125% |
| Gateway Health Plan | $136 | 127% |
| Health America/Ccn | $153 - $2,266 | 143% |
| Intergroup | $153 - $2,266 | 143% |
| Pgm - Kuwait Health Division | $153 - $2,266 | 143% |
| Pgm - Kuwait Oil | $153 - $2,266 | 143% |
| Preferred Care | $153 - $2,266 | 143% |
| Elap | $156 | 146% |
| Claims Watcher | $176 - $198 | 165% |
| Oscar Health Plan | $187 | 175% |
| Blue Quality Centers For Transplant (Bqct) | $191 - $2,832 | 179% |
| City Of Philadelphia Behavioral Health | $191 - $2,832 | 179% |
| Commercial Other | $191 - $2,832 | 179% |
| International Pfs | $191 - $2,832 | 179% |
| United Behavioral Health | $191 - $2,832 | 179% |
| Workers Compensation | $191 - $2,832 | 179% |
| Centivo | $198 | 185% |
| Elap Services | $204 | 191% |
| Highmark | $231 | 216% |
| Penn Global Medicine | $291 | 272% |