CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Cascade Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $173
Cash Discount Price: $229
vs. Medicare Baseline: 1.62x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Cascade Medical Center is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $229. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.62x the Medicare baseline. Located in 817 Commercial Street, Leavenworth, WA.

Cash / Self-Pay

$229

Average discount available for prompt cash payment at this facility.

Insurance Median

$173

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: $229 (214%)

Insurance Median: $173 (162%)

Cash: $229 (214% of Medicare)

Ins. Median: $173 (162% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$30 - $342	28%
Asuris Northwest Health	$30 - $342	28%
Blue Cross Blue Shield	$30 - $289	28%
Humana	$30 - $220	28%
Medicare (plans)	$30 - $220	28%
Molina Healthcare Of Washington Mcr Adv	$30 - $222	28%
Wellcare Health Plan Inc Mcr Adv	$33 - $237	31%
Medicaid / KanCare	$103 - $203	96%
Community Health Plan Of Wa Mcd Rep	$107 - $211	100%
Coordinated Care Of Wa Mcd Rep	$107 - $211	100%
Molina Healthcare Of Washington Mcd Rep	$107 - $211	100%
Tricare	$114	107%
Ambetter / Centene	$120 - $238	112%
Community Health Plan Of Wa	$125 - $247	117%
First Choice Health Network	$154	144%
Pacificsource Health Plans	$154	144%
Cigna	$161 - $318	151%
Washington Department Of Labor And Industry	$192 - $212	180%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $229.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76536.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cascade Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76536.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.