Ultrasound, thyroid and neck
Facility: Rehabilitation Hospital Of Overland Park
Billing Code: 76536 (CPT)
- CPT Billing Code: 76536
- Insurance Median: $698
- Cash Discount Price: $931
- vs. Medicare Baseline: 6.53x 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 653% of the Medicare baseline (a markup of 553%). 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 |
|---|---|---|
| Blue Cross Blue Shield | $558 | 522% |
| Americas Choice Provider Network | $651 | 609% |
| Quiktrip Corporation | $698 | 653% |
| Velocity | $698 | 653% |
| Provider Network Of America | $698 | 653% |
| Usa Managed Care Organization | $698 | 653% |
| Multiplan-Phcs | $745 | 698% |
| Prime Health Services | $791 | 741% |
| Medincrease | $838 | 785% |
Consumer Guidance & Cost Commentary
For the CPT code 76536 (Ultrasound, thyroid and neck), the Rehabilitation Hospital Of Overland Park lists a cash price of $931.00, which matches the facility's median paid amount. While the facility's negotiated rates with major payers like Blue Cross Blue Shield and Quiktrip Corporation range from $558 to $838, these amounts are often higher than the cash price due to administrative costs and contract structures. Patients with high-deductible plans may find paying the cash rate of $931.00 more cost-effective than relying on insurance, especially since the negotiated rates can sometimes exceed the cash price. It is important to verify your specific plan's deductible status and ask the hospital directly about "self-pay" or "prompt-pay" discounts before scheduling, as these upfront incentives can significantly reduce the final bill.
This procedure is benchmarked against Medicare, which sets a fixed reimbursement rate of $106.81 for this service. The cash price of $931.00 represents a 6.5x markup compared to the Medicare amount, illustrating the significant difference between federal cost baselines and commercial pricing. While the data does not provide specific county or state average comparisons for this code, the facility's location in Overland Park, KS (ZIP 66207) is relevant for understanding local market dynamics. To avoid unexpected costs, consumers should request a full itemized bill rather than accepting summary invoices, which may hide unbundled charges or services not rendered. If you receive a balance bill from an out-of-network provider, you have the right to dispute it under the No Surprises Act, but for in-network care