CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: St Joseph's Hospital

Billing Code: 76536 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$212

about 2.0× the $107 Medicare rate · typically $96–$516

modeled estimate · not a bill or quote

What this hospital charges insurers

$238

About the fair price

about $26 over the fair price · 2.2× Medicare

Medicare pays $107 Fair price $212 This hospital $238 Cash price $985 Hospital's list price $1,368

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

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

Cheapest $60 Priciest $238

Black dot = this hospital, among the 9 IL 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 $212 (about 2.0× the $107 Medicare rate). St Joseph's Hospital charges insurers about $238, or about $985 in cash — about the fair price. Located in Highland, IL.

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	$274 - $1,368	257%
Blue Cross Blue Shieldmajor	$274	257%
Aetnamajor	$274 - $956	257%
Cignamajor	$245	229%
Humanamajor	$274	257%
Health Net	$1,368	1281%
HealthLink	$1,163	1089%
Meridian	$115 - $231	108%
Molina	$110 - $274	103%
+ 15 smaller / regional plans	$274 - $1,368

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 985), 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 Joseph's Hospital 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 Joseph's Hospital

Compare: Ultrasound, thyroid and neck at other IL hospitals

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