CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Vibra Hospital of Boise

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $625
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 5.85x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Vibra Hospital of Boise is $625. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.85x the Medicare baseline. Located in 6651 W Franklin Rd, Boise, ID.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$625

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%)
Insurance Median: $625 (585%)
Ins. Median: $625 (585% 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 585% of the Medicare baseline (a markup of 485%). 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
Tricare $625 585%
UnitedHealthcare $625 585%
Regence Blue Shield of Idaho $625 585%
Providence $625 585%
Select Health Med Network $625 585%
Molina $625 585%
Blue Cross Blue Shield $625 585%
First Choice of the Midwest $625 585%
Independent Physician's Network $625 585%
Moda $625 585%
Regence Blue Shield of Idaho Blue Medadvantage $625 585%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6651 W Franklin Rd, Boise, ID 83709
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL