CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Stillwater Billings Clinic

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $151
  • Cash Discount Price: $314
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Stillwater Billings Clinic is $151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $314. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.41x the Medicare baseline. Located in 710 N 11Th St, Columbus, MT.
Cash / Self-Pay
$314

Average discount available for prompt cash payment at this facility.

Insurance Median
$151

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $314 (294%)
Insurance Median: $151 (141%)
Cash: $314 (294% of Medicare)
Ins. Median: $151 (141% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Humana $25 - $370 23%
Blue Cross Blue Shield $26 - $512 24%
Pacific Source Mcr Advantage $26 - $367 24%
Tricare $26 - $367 24%
Allegiance Direct Ppo - All Other Plans $43 - $512 40%
Allegiance State Of Mt $43 - $755 40%
All Savers-All Plans $44 - $512 41%
UnitedHealthcare $44 - $512 41%
Aetna $47 - $523 44%
Boon Chapman First Choice Health $47 - $523 44%
Cigna $47 - $512 44%
Ebms First Choice Health $47 - $523 44%
First Choice- All Plans $47 - $523 44%
Mountain Health Coop - All Plans $47 - $496 44%
Pacific Source Billings Clinic $47 - $404 44%
Pacific Source Voyager - All Other Plans $47 - $512 44%
Pacificsource Nav $47 - $512 44%
Rci First Choice Health - All Other Plans $47 - $523 44%
Rci Wyoben $47 - $485 44%
Trustmark First Choice Health $47 - $523 44%
Wyo-Ben Inc- All Plans $47 - $485 44%
Zenith First Choice Health- All Plans $47 - $523 44%
Pacific Steel Direct - All Plans $52 - $377 49%
Ebms Interwest $74 - $512 69%
Gpa Interwest- All Plans $74 - $512 69%
Interwest Health-All Plans $74 - $512 69%
Rci Interwest $74 - $512 69%
Allied Core Value $77 - $469 72%
Ebms Town Pump $80 - $512 75%
Town Pump Inc- All Plans $80 - $512 75%
Blackhawk - All Plans $85 - $512 80%
Mtada- All Plans $85 - $512 80%
Prodegi (Y-Tex Corp)- All Plans $85 - $512 80%
Murdoch Oil - All Plans $86 - $523 81%
Ryegate Public Schools - All Plans $86 - $523 81%
Savatree - All Plans $86 - $523 81%
Tabs - All Plans $86 - $523 81%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 710 N 11Th St, Columbus, MT 59019
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals