CMS Price Transparency Data
Ultrasound, thyroid and neck
Facility: Anmed Health
Billing Code: 76536 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76536
- Insurance Median: $90
- Cash Discount Price: $119
- vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Anmed Health is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $119. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.84x the Medicare baseline. Located in 800 N Fant St, Anderson, SC.
Cash / Self-Pay
$119
Average discount available for prompt cash payment at this facility.
Insurance Median
$90
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: $119 (111%)
Insurance Median: $90 (84%)
Cash: $119 (111% of Medicare)
Ins. Median: $90 (84% 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 |
|---|---|---|
| Employee Benefit Management Services [869] | $12 - $280 | 11% |
| Preferred Administrators [19] | $14 - $600 | 13% |
| Medicaid / KanCare | $20 - $1,000 | 19% |
| Humana | $21 - $720 | 20% |
| Phcs [940] | $21 - $880 | 20% |
| Select Health Of Sc [637] | $23 - $90 | 22% |
| Absolute Total Care Mcr Plans Alt Payer [4101] | $25 - $101 | 23% |
| Absolute Total Care Mcr Plans [41] | $25 - $101 | 23% |
| Aetna | $25 - $767 | 23% |
| Blue Cross Blue Shield | $25 - $950 | 23% |
| Cigna | $25 - $1,000 | 23% |
| Devoted Health Alt Payer [9401] | $25 - $100 | 23% |
| Devoted Health [94] | $25 - $100 | 23% |
| Medicare (plans) | $25 - $1,000 | 23% |
| Molina Dual Options Alt Payer [1501] | $25 - $101 | 23% |
| Molina Dual Options [15] | $25 - $101 | 23% |
| UnitedHealthcare | $25 - $1,000 | 23% |
| Vaccn - Va Community Care Network [16] | $25 - $98 | 23% |
| Veterans Administration [633] | $25 - $98 | 23% |
| Absolute Total Care [58] | $26 - $140 | 24% |
| Blue Choice Health Plan [922] | $26 - $523 | 24% |
| Champva [604] | $26 - $102 | 24% |
| First Choice Vip Careplus Alt Payer [3301] | $26 - $103 | 24% |
| First Choice Vip [33] | $26 - $103 | 24% |
| Nhc Advantage Alt Payer [6101] | $26 - $103 | 24% |
| Nhc Advantage [61] | $26 - $103 | 24% |
| Tricare | $26 - $102 | 24% |
| Bright Health Alt Payer [1001] | $29 - $117 | 27% |
| Geha [302] | $33 - $530 | 31% |
| Golden Rule Ins Co [584] | $33 - $530 | 31% |
| Ambetter / Centene | $35 - $140 | 33% |
| Bright Health [11] | $36 - $140 | 34% |
| First Choice Next [96] | $36 - $142 | 34% |
| Molina Marketplace [97] | $36 - $142 | 34% |
| Mail Handlers Benefit Plan [327] | $39 - $767 | 37% |
| Rural Carrier Benefit Plan [406] | $39 - $767 | 37% |
| Workers Compensation [622] | $40 - $158 | 37% |
| Edison Health Solutions [95] | $43 - $171 | 40% |
| Healthscope [98] | $43 - $171 | 40% |
| Nalc Health Benefit Plan [291] | $44 - $546 | 41% |
| Planned Administrators [886] | $65 - $491 | 61% |
| Thomas Cooper & Company [315] | $65 - $491 | 61% |
| Medcost [206] | $66 - $900 | 62% |
| Other Hospital Payers [1991] | $122 - $1,000 | 114% |
| Coventry Health [245] | $720 - $885 | 674% |
| American Continental Ins [778] | $1,000 | 936% |
| American Republic Life Ins [722] | $1,000 | 936% |
| Business Office [6000] | $1,000 | 936% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund [17] | $1,000 | 936% |
| First Health [946] | $1,000 | 936% |
| Guarantee Trust Life Insurance [236] | $1,000 | 936% |
| Home Health Infusion Payer [6001] | $1,000 | 936% |
| Manhattan Life Ins Co [932] | $1,000 | 936% |
| Miscellaneous Commercial [1] | $1,000 | 936% |
| New Era Life Ins Co [437] | $1,000 | 936% |
| Non-Contracted [22] | $1,000 | 936% |
| Physicians Mutual [773] | $1,000 | 936% |
| Reference Based Pricing/Limited Plan [21] | $1,000 | 936% |
| State Farm Ins Co [373] | $1,000 | 936% |
| Sterling Investors Life [244] | $1,000 | 936% |
| Supermed/Med Mutual Of Ohio [539] | $1,000 | 936% |
| United American Ins Co [277] | $1,000 | 936% |