CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Memorial Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $203
  • Cash Discount Price: $299
  • vs. Medicare Baseline: 1.90x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Memorial Medical Center is $203. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $299. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.90x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$299

Average discount available for prompt cash payment at this facility.

Insurance Median
$203

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: $299 (280%)
Insurance Median: $203 (190%)
Cash: $299 (280% of Medicare)
Ins. Median: $203 (190% 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
Triwest Va Pccc-All Plans $25 - $203 23%
Amerigroup Mcr Adv-All Other Plans $26 - $207 24%
Care Improvement Plus - All Other Plans $26 - $207 24%
Care Improvement Plus Mcr $26 - $209 24%
Superior Allwell Mcr Adv-All Other Plans $26 - $207 24%
UnitedHealthcare $26 - $592 24%
Universal American Mcr-All Other Plans $26 - $207 24%
Universal American Snp $27 - $218 25%
Coventry First Hlth Hmo Ppo-All Other Plans $32 - $592 30%
Coventry First Hlth Mcr Adv $32 - $207 30%
Ambetter / Centene $37 - $249 35%
Galaxy Health Network-All Plans $38 - $629 36%
Capstar Health Network-All Plans $39 - $592 37%
Cigna $39 - $555 37%
Healthcare Highways-All Plans $75 - $592 70%
Prime Healthcare Services-All Plans $80 - $518 75%
Blue Cross Blue Shield $86 - $232 81%
Humana $92 - $592 86%
Corvel Work Comp-All Plans $98 - $629 92%
Independent Med Sys Ppo-All Plans $98 - $629 92%
Multiplan Mcr Adv $98 - $207 92%
Multiplan Phcs Ppo-All Other Plans $98 - $629 92%
Provider Select Ppo-All Plans $98 - $629 92%
Three Rivers Ppo-All Plans $98 - $629 92%
Usa Mso - All Plans $98 - $629 92%
Amerigroup Chip $115 - $355 108%
Amerigroup Star $115 - $355 108%
Amerigroup Star Kids $115 - $355 108%
Amerigroup Star Plus $115 - $355 108%
Comm Health Chip $115 - $355 108%
Comm Health Perinatal-All Other Plans $115 - $355 108%
Molina Chip/Star-All Plans $115 - $355 108%
Scott & White Chip/Star-All Plans $115 - $355 108%
Superior Chip/Star $115 - $355 108%
Texas Childrens Hp - All Plans $115 - $355 108%
Comm Health Mcaid Hmo $120 - $373 112%
Comm Health Star $120 - $373 112%
Aetna $592 554%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals