CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Saint Alphonsus Regional Medical Center

Billing Code: 76536 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$221

about 2.1× the $107 Medicare rate · typically $113–$278

modeled estimate · not a bill or quote

What this hospital charges insurers

$293

Above the fair price

about $72 over the fair price · 2.7× Medicare

Medicare pays $107 Fair price $221 This hospital $293 Cash price $346 Hospital's list price $532

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

Highest price of the 9 ID hospitals we have prices for — worth calling around.

Cheapest $49 Priciest $293

Black dot = this hospital, among the 9 ID hospitals with a price for this procedure. Full list below.

A fair price for a Ultrasound, thyroid and neck is about $221 (about 2.1× the $107 Medicare rate). Saint Alphonsus Regional Medical Center charges insurers about $293, or about $346 in cash — above the fair price. Located in Boise, ID.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $221. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$111 - $532	104%
Blue Cross Blue Shieldmajor	$111 - $511	104%
Aetnamajor	$114 - $488	107%
Cignamajor	$603	565%
Humanamajor	$468 - $532	438%
Kaiser Permanentemajor	$511	478%
Dean Health Plan	$479	448%
GEHA	$479 - $488	448%
Health Net	$388 - $479	363%
Moda Health	$113 - $479	106%
Molina	$266	249%
PacificSource	$226 - $388	212%
Paramount	$479	448%
Priority Health	$603	565%
SelectHealth	$317 - $479	297%
+ 42 smaller / regional plans	$84 - $603

Government programs also on file: Medicare, Medicaid.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 346), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76536.

Insurance Before you use insurance

Call your insurance company to confirm Saint Alphonsus Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 76536.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Saint Alphonsus Regional Medical Center

Compare: Ultrasound, thyroid and neck at other ID hospitals

Insurance negotiated median for the same procedure, sorted lowest first.