CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Chan Soon- Shiong Medical Center at Windber

Billing Code: 76536 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$100

about 0.9× the $107 Medicare rate · typically $97–$107

modeled estimate · not a bill or quote

What this hospital charges insurers

$100

About the fair price

0.9× Medicare

Medicare pays $107 Fair price $100 This hospital $100 Cash price $170 Hospital's list price $200

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $33 Priciest $100

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

A fair price for a Ultrasound, thyroid and neck is about $100 (about 0.9× the $107 Medicare rate). Chan Soon- Shiong Medical Center at Windber charges insurers about $100, or about $170 in cash — about the fair price. Located in Windber, PA.

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	$70 - $162	66%
Blue Cross Blue Shieldmajor	$60 - $200	56%
Aetnamajor	$100 - $119	94%
Cignamajor	$101 - $120	95%
Humanamajor	$100	94%
AmeriHealth	$54 - $100	51%
Geisinger	$55 - $168	51%
UPMC Health Plan	$55 - $200	51%
+ 2 smaller / regional plans	$61 - $102

Government programs also on file: Military & VA.

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 170), 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 Chan Soon- Shiong Medical Center at Windber 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 Chan Soon- Shiong Medical Center at Windber

Compare: Ultrasound, thyroid and neck at other PA hospitals

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