CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Cedar City Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $622
  • Cash Discount Price: $524
  • vs. Medicare Baseline: 5.82x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Cedar City Hospital is $622. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $524. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.82x the Medicare baseline. Located in 1303 North Main Street, Cedar City, UT.
Cash / Self-Pay
$524

Average discount available for prompt cash payment at this facility.

Insurance Median
$622

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: $524 (491%)
Insurance Median: $622 (582%)
Cash: $524 (491% of Medicare)
Ins. Median: $622 (582% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 582% of the Medicare baseline (a markup of 482%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $27 - $673 25%
American Health $27 - $117 25%
Blue Cross Blue Shield $27 - $664 25%
Health Choice $27 - $622 25%
Health Partners Of Nevada $27 - $113 25%
Health Plan Of Nevada $27 - $622 25%
Healthy U $27 - $622 25%
Humana $27 - $118 25%
Molina $27 - $664 25%
Selecthealth $27 - $629 25%
Southwest Behavioral Health $27 - $100 25%
UnitedHealthcare $27 - $629 25%
Triwest $103 96%
Awh Connected $339 - $636 317%
Byu Athletic Department $339 - $629 317%
Campbell Scientific $339 - $629 317%
Cigna $339 - $664 317%
Deseret Mutual $339 - $629 317%
Emi $339 - $629 317%
Emi Health $339 - $629 317%
Franklin County $339 - $629 317%
Ifit $339 - $629 317%
Juniper Systems $339 - $629 317%
Lw Miller $339 - $629 317%
Managed Care Admin $339 - $629 317%
Motivhealth $339 - $629 317%
Pehp $339 - $664 317%
Prodegi Corp Benefit $339 - $629 317%
Tanner Llc $339 - $629 317%
Utah Tech $339 - $629 317%
Wise Network $339 - $629 317%
Corporation Of The President $524 491%
Corvel Corporation $524 491%
Injury Care Of Nevada $524 491%
Wcf Insurance $524 491%
Byu Risk Management $594 556%
Global Excel $629 589%
Medcare International $629 589%
Uofu $629 - $664 589%
Health Utah $664 622%
Hygeia Corporation $664 622%
Springtide $664 622%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1303 North Main Street, Cedar City, UT 84721
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals