CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Beloit Health System

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $787
Cash Discount Price: $385
vs. Medicare Baseline: 7.37x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Beloit Health System is $787. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $385. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.37x the Medicare baseline. Located in 1969 W Hart Rd, Beloit, WI.

Cash / Self-Pay

$385

Average discount available for prompt cash payment at this facility.

Insurance Median

$787

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: $385 (360%)

Insurance Median: $787 (737%)

Cash: $385 (360% of Medicare)

Ins. Median: $787 (737% 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 737% of the Medicare baseline (a markup of 637%). 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	$26 - $1,716	24%
Blue Cross Blue Shield	$26 - $932	24%
Dean Health	$26 - $984	24%
Independent Care Health Plan	$26 - $110	24%
Quartz	$26 - $1,143	24%
UnitedHealthcare	$26 - $597	24%
Naphcare	$40 - $1,055	37%
Cook Children'S Health Plan (Cchp)	$76 - $903	71%
Wea Trust	$84 - $994	79%
Humana	$99 - $1,319	93%
The Alliance	$100 - $440	94%
Managed Health Services	$110	103%
Molina Healthcare	$110	103%
Wellcare	$110	103%
Multiplan	$121 - $1,445	113%
Wps	$132 - $1,303	124%
Health Eos	$138 - $1,644	129%
Cigna	$144 - $1,716	135%
Hfn	$144 - $1,716	135%
Preferred Network Access	$144 - $1,716	135%

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 $385.
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 Beloit Health System 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.