CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: St Luke's Wood River Medical Center

Billing Code: 76536 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$455

about 4.3× the $107 Medicare rate · typically $152–$455

modeled estimate · not a bill or quote

What this hospital charges insurers

$319

Below the fair price — a good deal

about $136 under the fair price · 3.0× Medicare

Medicare pays $107 Fair price $455 This hospital $319 Cash price $441 Hospital's list price $441

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 $319

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 $455 (about 4.3× the $107 Medicare rate). St Luke's Wood River Medical Center charges insurers about $319, or about $441 in cash — below the fair price — a good deal. Located in Ketchum, ID.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$264 - $399	247%
Blue Cross Blue Shieldmajor	$254 - $377	238%
Aetnamajor	$277 - $419	259%
Cignamajor	$410	384%
GEHA	$399	374%
Moda Health	$388	363%
PacificSource	$415	389%
+ 2 smaller / regional plans	$251 - $428

Government programs also on file: Medicare, Military & VA.

Excludes 2 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 441), 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 St Luke's Wood River 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 St Luke's Wood River Medical Center

Compare: Ultrasound, thyroid and neck at other ID hospitals

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