CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Englewood Hospital and Medical Center

Billing Code: 76536 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$157

about 1.5× the $107 Medicare rate · typically $126–$177

modeled estimate · not a bill or quote

What this hospital charges insurers

$125

Below the fair price — a good deal

about $32 under the fair price · 1.2× Medicare

Medicare pays $107 Fair price $157 This hospital $125 Cash price $237 Hospital's list price $2,368

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $114 Priciest $125

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

A fair price for a Ultrasound, thyroid and neck is about $157 (about 1.5× the $107 Medicare rate). Englewood Hospital and Medical Center charges insurers about $125, or about $237 in cash — below the fair price — a good deal. Located in Englewood, NJ.

What each insurance company pays

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

5 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	$125 - $470	117%
Blue Cross Blue Shieldmajor	$125 - $1,373	117%
Aetnamajor	$125 - $1,776	117%
Cignamajor	$1,527	1430%
Humanamajor	$125	117%
Amerigroup	$125 - $233	117%
AmeriHealth	$125 - $1,087	117%
Clover Health	$125	117%
MagnaCare	$1,421 - $1,894	1330%
WellCare	$135 - $185	126%
+ 13 smaller / regional plans	$32 - $7,783

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 237), 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 Englewood Hospital and 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 Englewood Hospital and Medical Center

Compare: Ultrasound, thyroid and neck at other NJ hospitals

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