CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Eastern Idaho Regional Medical Center

Billing Code: 76536 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$105

about 1.0× the $107 Medicare rate · typically $89–$181

modeled estimate · not a bill or quote

What this hospital charges insurers

$107

About the fair price

about $2 over the fair price · 1.0× Medicare

Medicare pays $107 Fair price $105 This hospital $107 Cash price $922 Hospital's list price $922

How we calculate the fair BaseRate →

How this hospital compares to other ID hospitals

On the higher side — 7 of 8 other ID hospitals charge less.

Cheapest $49 Priciest $108

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, thyroid and neck is about $105 (about 1.0× the $107 Medicare rate). Eastern Idaho Regional Medical Center charges insurers about $107, or about $922 in cash — about the fair price. Located in Idaho Falls, ID.

What each insurance company pays

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

5 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	$245 - $533	229%
Blue Cross Blue Shieldmajor	$21 - $876	20%
Aetnamajor	$363 - $449	340%
Cignamajor	$507	475%
Humanamajor	$774	725%
Health Net	$830	777%
Moda Health	$574	537%
Molina	$21 - $63	20%
PacificSource	$387 - $494	362%
SelectHealth	$279 - $294	261%
+ 8 smaller / regional plans	$151 - $922

Excludes 5 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 922), 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 Eastern Idaho 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 Eastern Idaho Regional Medical Center

Compare: Ultrasound, thyroid and neck at other ID hospitals

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