CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Trios Health

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $168
  • Cash Discount Price: $467
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Trios Health is $168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $467. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.57x the Medicare baseline. Located in 3780 Plaza Way, Kennewick, WA.
Cash / Self-Pay
$467

Average discount available for prompt cash payment at this facility.

Insurance Median
$168

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: $467 (437%)
Insurance Median: $168 (157%)
Cash: $467 (437% of Medicare)
Ins. Median: $168 (157% 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
Community Health Plan Of Washington $74 69%
Coordinated Care Of Washington Inc $76 71%
Wellpoint Washington, Inc. $77 72%
Molina Healthcare Of Washington $99 93%
Veteran Family Member Program $112 105%
Aetna $113 - $579 106%
UnitedHealthcare $113 - $788 106%
Asuris Northwest Health $118 110%
Humana $119 111%
Kfhp Of Wa Options, Inc $217 203%
Blue Cross Blue Shield $289 271%
Lifewise Health Plan Of Wa $289 271%
Meritain Health $560 524%
Cigna $777 - $781 727%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3780 Plaza Way, Kennewick, WA 99338
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals