CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Borgess Medical Center

Billing Code: 76536 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$106

about 1.0× the $107 Medicare rate · typically $92–$109

modeled estimate · not a bill or quote

What this hospital charges insurers

$105

About the fair price

about $1 under the fair price · 1.0× Medicare

Medicare pays $107 Fair price $106 This hospital $105 Cash price $353 Hospital's list price $543

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 $105

Black dot = this hospital, among the 9 MI 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 $106 (about 1.0× the $107 Medicare rate). Borgess Medical Center charges insurers about $105, or about $353 in cash — about the fair price. Located in Kalamazoo, MI.

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	$60 - $422	56%
Blue Cross Blue Shieldmajor	$105 - $340	98%
Aetnamajor	$60 - $422	56%
Humanamajor	$105	98%
Devoted Health	$109 - $110	102%
Meridian	$105 - $543	98%
Molina	$60 - $163	56%
Priority Health	$60 - $494	56%
+ 3 smaller / regional plans	$60 - $478

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 353), 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 Borgess 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 Borgess Medical Center

Compare: Ultrasound, thyroid and neck at other MI hospitals

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