CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Trinity Health Muskegon Hospital

Billing Code: 76536 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$141

about 1.3× the $107 Medicare rate · typically $87–$174

modeled estimate · not a bill or quote

What this hospital charges insurers

$225

Above the fair price

about $84 over the fair price · 2.1× Medicare

Medicare pays $107 Fair price $141 This hospital $225 Cash price $346 Hospital's list price $533

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $36 Priciest $225

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

A fair price for a Ultrasound, thyroid and neck is about $141 (about 1.3× the $107 Medicare rate). Trinity Health Muskegon Hospital charges insurers about $225, or about $346 in cash — above the fair price. Located in Muskegon, MI.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $141. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

6 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	$115 - $469	108%
Blue Cross Blue Shieldmajor	$58 - $225	54%
Aetnamajor	$109 - $294	102%
Cignamajor	$335	314%
Humanamajor	$420	393%
Kaiser Permanentemajor	$225	211%
AmeriHealth	$420	393%
CareSource	$335	314%
Dean Health Plan	$400	374%
GEHA	$294 - $469	275%
Medical Mutual	$420	393%
Molina	$145	136%
MVP Health Care	$400	374%
Oscar Health	$143	134%
Paramount	$400	374%
Priority Health	$215 - $391	201%
UniCare	$420	393%
+ 139 smaller / regional plans	$78 - $533

Government programs also on file: Medicare, Medicaid.

Excludes 9 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 346), 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 Trinity Health Muskegon 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 Trinity Health Muskegon Hospital

Compare: Ultrasound, thyroid and neck at other MI hospitals

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