CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Mercy Health Lakeshore Campus

Billing Code: 76536 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$133

about 1.2× the $107 Medicare rate · typically $71–$202

modeled estimate · not a bill or quote

What this hospital charges insurers

$156

Above the fair price

about $23 over the fair price · 1.5× Medicare

Medicare pays $107 Fair price $133 This hospital $156 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 $156

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 $133 (about 1.2× the $107 Medicare rate). Mercy Health Lakeshore Campus charges insurers about $156, or about $346 in cash — above the fair price. Located in Shelby, 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 $133. 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	$187 - $480	175%
Blue Cross Blue Shieldmajor	$79 - $456	74%
Aetnamajor	$133 - $424	125%
Cignamajor	$463	433%
Humanamajor	$477	447%
Kaiser Permanentemajor	$456	427%
AmeriHealth	$477	447%
CareSource	$476	446%
Dean Health Plan	$458	429%
GEHA	$424 - $480	397%
Medical Mutual	$477	447%
Molina	$222	208%
MVP Health Care	$458	429%
Oscar Health	$164	154%
Paramount	$458	429%
Priority Health	$480	449%
UniCare	$477	447%
+ 119 smaller / regional plans	$93 - $489

Government programs also on file: Medicare, Medicaid.

Excludes 8 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 Mercy Health Lakeshore Campus 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 Mercy Health Lakeshore Campus

Compare: Ultrasound, thyroid and neck at other MI hospitals

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