CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: St James Hospital

Billing Code: 76536 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$84
about 0.8× the $107 Medicare rate · typically $50–$135
modeled estimate · not a bill or quote
What this hospital charges insurers
$41
Below the fair price — a good deal
about $43 under the fair price · 0.4× Medicare
Medicare pays $107 Fair price $84 This hospital $41 Cash price $113 Hospital's list price $225

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

On the higher side — 6 of 8 other NY hospitals charge less.

Cheapest $27 Priciest $84

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

A fair price for a Ultrasound, thyroid and neck is about $84 (about 0.8× the $107 Medicare rate). St James Hospital charges insurers about $41, or about $113 in cash — below the fair price — a good deal. Located in Hornell, NY.

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 $18 - $140 17%
Blue Cross Blue Shieldmajor $18 - $312 17%
Aetnamajor $26 - $140 24%
Cignamajor $34 - $314 32%
Humanamajor $140 131%
CDPHP $67 - $274 63%
Fidelis Care $18 - $89 17%
Molina $30 - $68 28%
MVP Health Care $25 - $303 23%
+ 1 smaller / regional plan $295
Government programs also on file: Medicare, Medicaid.

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Facility Profile & Credentials

  • Address: 411 Canisteo Street, Hornell, NY 14843
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals