CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Bellin Memorial Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $324
Cash Discount Price: $301
vs. Medicare Baseline: 3.03x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Bellin Memorial Hospital is $324. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $301. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.03x the Medicare baseline. Located in 744 S Webster Ave, Green Bay, WI.

Cash / Self-Pay

$301

Average discount available for prompt cash payment at this facility.

Insurance Median

$324

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: $301 (282%)

Insurance Median: $324 (303%)

Cash: $301 (282% of Medicare)

Ins. Median: $324 (303% 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 303% of the Medicare baseline (a markup of 203%). 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
Aetna	$100 - $119	94%
Community Care	$100 - $260	94%
Humana	$100 - $260	94%
My Choice	$100 - $119	94%
Network Health	$101 - $347	95%
UnitedHealthcare	$105 - $741	98%
Blue Cross Blue Shield	$119 - $408	111%
Common Ground	$278	260%
Chorus Community Health Plan	$298	279%
Aspirus Arise	$320 - $334	300%
Cigna	$326 - $330	305%
Wps Insurance	$338 - $394	316%
Hps/Paymedix	$343 - $370	321%
Trilogy	$352	330%
Healthsmart	$370	346%
Ihs(Claimsbridge)	$370	346%
Medical College Of Wi	$370	346%
Multiplan	$370	346%
Allied National	$394	369%
First Health	$394	369%
Galaxy Health	$394	369%
Three Rivers Provider Network	$417	390%

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 $301.
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 Bellin Memorial Hospital 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.