CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: St Charles Medical Center Prineville

Billing Code: 76536 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$188

about 1.8× the $107 Medicare rate · typically $118–$199

modeled estimate · not a bill or quote

What this hospital charges insurers

$190

About the fair price

about $2 over the fair price · 1.8× Medicare

Medicare pays $107 Fair price $188 This hospital $190 Cash price $506 Hospital's list price $632

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

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

Cheapest $29 Priciest $190

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

A fair price for a Ultrasound, thyroid and neck is about $188 (about 1.8× the $107 Medicare rate). St Charles Medical Center Prineville charges insurers about $190, or about $506 in cash — about the fair price. Located in Prineville, OR.

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	$94 - $730	88%
Blue Cross Blue Shieldmajor	$90 - $383	84%
Aetnamajor	$94 - $687	88%
Cignamajor	$94 - $497	88%
Humanamajor	$94 - $221	88%
Kaiser Permanentemajor	$94 - $684	88%
Devoted Health	$94 - $221	88%
Health Net	$94 - $742	88%
Moda Health	$249 - $679	233%
PacificSource	$103 - $432	96%
Providence Health Plan	$249 - $691	233%
UniCare	$94 - $221	88%
WellCare	$94 - $221	88%
+ 66 smaller / regional plans	$94 - $774

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 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 506), 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 St Charles Medical Center Prineville 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 St Charles Medical Center Prineville

Compare: Ultrasound, thyroid and neck at other OR hospitals

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