CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Marshfield Medical Center - Rice Lake

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $561
Cash Discount Price: $561
vs. Medicare Baseline: 5.25x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Marshfield Medical Center - Rice Lake is $561. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $561. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.25x the Medicare baseline. Located in 1700 West Stout Street, Rice Lake, WI.

Cash / Self-Pay

$561

Average discount available for prompt cash payment at this facility.

Insurance Median

$561

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: $561 (525%)

Insurance Median: $561 (525%)

Cash: $561 (525% of Medicare)

Ins. Median: $561 (525% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 525% of the Medicare baseline (a markup of 425%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Family Health Center (Fhc)	$296	277%
Amish/Mennonite	$325	304%
Sanford Health Plan	$325	304%
Security Health Plan (Shp)	$384 - $525	360%
Blue Cross Blue Shield	$423 - $473	396%
Group Health Cooperative Of Eau Claire	$485 - $567	454%
UnitedHealthcare	$487 - $585	456%
Molina Healthcare Of Wi	$502	470%
The Alliance	$532 - $561	498%
Besse Forest Products	$561	525%
Cigna	$561	525%
Corvel	$561	525%
First Health	$561	525%
Health Partners	$561	525%
Healtheos By Multiplan Inc.	$561	525%
Rice Lake School District	$561	525%
Medica Of Wi	$564 - $576	528%
Trilogy	$564 - $567	528%
Coventry	$567	531%
Health Smart	$567	531%
Rising Medical Work Comp	$573	536%
Wps Health Insurance	$576	539%
Three Rivers Provider Network (Trpn)	$579	542%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $561.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76536.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Marshfield Medical Center - Rice Lake is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76536.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.