CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Marshfield Medical Center - Beaver Dam (Mmc-Bd)

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $1,329
Cash Discount Price: $1,526
vs. Medicare Baseline: 12.44x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Marshfield Medical Center - Beaver Dam (Mmc-Bd) is $1,329. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,526. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 12.44x the Medicare baseline. Located in 707 S University Ave, Beaver Dam, WI.

Cash / Self-Pay

$1,526

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,329

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: $1,526 (1429%)

Insurance Median: $1,329 (1244%)

Cash: $1,526 (1429% of Medicare)

Ins. Median: $1,329 (1244% 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 1244% of the Medicare baseline (a markup of 1144%). 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
Wps Health Insurance	$394 - $1,081	369%
UnitedHealthcare	$588	551%
Blue Cross Blue Shield	$796 - $955	745%
The Alliance	$816	764%
Security Health Plan (Shp)	$835 - $928	782%
Amish/Mennonite	$883	827%
Quartz	$915	857%
Cigna	$1,092 - $1,188	1022%
Health Payment Systems	$1,118	1047%
Humana	$1,269 - $1,429	1188%
Group Health Cooperative Of Eau Claire	$1,317 - $1,526	1233%
Network Health Plan	$1,341	1256%
First Health	$1,365	1278%
Molina Healthcare Of Wi	$1,365	1278%
Trilogy	$1,445	1353%
Healtheos By Multiplan Inc.	$1,494 - $1,526	1399%
Health Partners	$1,526	1429%
Coventry	$1,542	1444%

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 $1,526.
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 - Beaver Dam (Mmc-Bd) 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.