CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Baptist Health Deaconess Madisonville

Billing Code: 76536 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$78

about 0.7× the $107 Medicare rate · typically $68–$99

modeled estimate · not a bill or quote

What this hospital charges insurers

$70

Below the fair price — a good deal

about $8 under the fair price · 0.7× Medicare

Medicare pays $107 Fair price $78 This hospital $70 Cash price $165 Hospital's list price $1,267

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 $70

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 $78 (about 0.7× the $107 Medicare rate). Baptist Health Deaconess Madisonville charges insurers about $70, or about $165 in cash — below the fair price — a good deal. Located in Madisonville, 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	$24 - $434	22%
Blue Cross Blue Shieldmajor	$24 - $419	22%
Aetnamajor	$24 - $152	22%
Humanamajor	$24 - $443	22%
Ambetter (Centene)	$184	172%
HealthLink	$433	405%
Molina	$24 - $152	22%
WellCare	$24 - $152	22%
+ 8 smaller / regional plans	$24 - $1,088

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 165), 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 Baptist Health Deaconess Madisonville 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 Baptist Health Deaconess Madisonville

Compare: Ultrasound, thyroid and neck at other KY hospitals

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