CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Saint Joseph Mount Sterling

Billing Code: 76536 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$250
about 2.3× the $107 Medicare rate · typically $114–$346
modeled estimate · not a bill or quote
What this hospital charges insurers
$198
Below the fair price — a good deal
about $52 under the fair price · 1.9× Medicare
Medicare pays $107 Fair price $250 This hospital $198 Cash price $309 Hospital's list price $843

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

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

Cheapest $40 Priciest $198

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

A fair price for a Ultrasound, thyroid and neck is about $250 (about 2.3× the $107 Medicare rate). Saint Joseph Mount Sterling charges insurers about $198, or about $309 in cash — below the fair price — a good deal. Located in Mount Sterling, KY.

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✓ Humana CignaKaiser 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 $102 - $526 95%
Blue Cross Blue Shieldmajor $100 - $204 94%
Aetnamajor $103 - $565 96%
Humanamajor $100 - $362 94%
CareSource $200 187%
Molina $105 - $198 98%
WellCare $100 - $176 94%
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 225 Falcon Drive, Mount Sterling, KY 40353
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals