Ultrasound, thyroid and neck
Facility: Physicians Care Surgical Hospital
Billing Code: 76536 (CPT)
- CPT Billing Code: 76536
- Insurance Median: $5,228
- Cash Discount Price: $4,183
- vs. Medicare Baseline: 48.95x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 4895% of the Medicare baseline (a markup of 4795%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Connecticare | $124 | 116% |
| Blue Cross Blue Shield | $194 - $5,647 | 182% |
| Highmark | $194 | 182% |
| Coventry | $393 | 368% |
| Healthez | $393 | 368% |
| Aetna | $393 - $5,856 | 368% |
| Allied Benefits Systems | $393 | 368% |
| Continental Benefits | $393 | 368% |
| Geha | $393 | 368% |
| Marpai Health | $393 | 368% |
| Meritain Health | $393 | 368% |
| Ag Administrators | $393 | 368% |
| Premier Care Network | $393 | 368% |
| Lucent Health | $393 | 368% |
| Allied Benefit Systems | $393 | 368% |
| Ag Administrators Inc | $393 | 368% |
| Trustmark | $393 | 368% |
| Keystone 65 HMO | $5,228 | 4895% |
| Pcsh Aarp | $5,228 | 4895% |
| Devon Health Services | $5,228 | 4895% |
| Vibra Health Plan | $5,228 | 4895% |
| Medicare (plans) | $5,228 | 4895% |
| Gpm Health and Life Insurance Mc Supplement | $5,228 | 4895% |
| Aarp | $5,228 | 4895% |
| UnitedHealthcare | $5,228 - $11,093 | 4895% |
| Cigna | $5,228 | 4895% |
| Personal Choice 65 | $5,228 | 4895% |
| Humana | $5,228 | 4895% |
| Ibc Security 65 | $5,228 | 4895% |
| Shenandoah Life | $5,228 | 4895% |
| Tricare | $5,228 | 4895% |
| Unified Health Services | $5,228 | 4895% |
| Keystone HMO | $5,647 | 5287% |
| Amerihealth Administrators | $5,647 | 5287% |
| Personal Choice | $5,647 | 5287% |
| Amerihealth New Jersey HMO | $5,647 | 5287% |
| Horizon of New Jersey | $5,647 | 5287% |
| Empire Plan | $5,647 | 5287% |
| Regence Blue Shield | $5,647 | 5287% |
| Ibc - Local | $5,647 | 5287% |
| Keystone Healthplan East | $5,647 | 5287% |
| Keystone Direct POS | $5,647 | 5287% |
| Carefirst Administrators | $5,647 | 5287% |
| Ibc 2021 | $5,647 | 5287% |
| Ibc | $5,647 | 5287% |
| Independence Federal | $5,647 | 5287% |
| Ibc Local | $5,647 | 5287% |
| Independence Bc | $5,647 | 5287% |
| Independence Administrators | $5,647 | 5287% |
| Pcsh Ibc | $5,647 | 5287% |
| Surest | $11,093 | 10386% |
| Oxford Health Plan | $11,093 | 10386% |
| Allsavers | $11,093 | 10386% |
| Oxford Life Insurance Company | $11,093 | 10386% |
| Golden Rule Op | $11,093 | 10386% |