CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Marshfield Medical Center - Minocqua

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $932
Cash Discount Price: $984
vs. Medicare Baseline: 8.73x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Marshfield Medical Center - Minocqua is $932. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $984. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.73x the Medicare baseline. Located in 9576 Highway 70, Minocqua, WI.

Cash / Self-Pay

$984

Average discount available for prompt cash payment at this facility.

Insurance Median

$932

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: $984 (921%)

Insurance Median: $932 (873%)

Cash: $984 (921% of Medicare)

Ins. Median: $932 (873% 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 873% of the Medicare baseline (a markup of 773%). 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
Security Health Plan (Shp)	$384 - $525	360%
Blue Cross Blue Shield	$419 - $468	392%
Family Health Center (Fhc)	$518	485%
The Alliance	$532 - $853	498%
Amish/Mennonite	$570	534%
Sanford Health Plan	$570	534%
UnitedHealthcare	$585 - $855	548%
Group Health Cooperative Of Eau Claire	$850 - $932	796%
Besse Forest Products	$881	825%
Molina Healthcare Of Wi	$881	825%
Rice Lake School District	$881	825%
Wps Health Insurance	$917 - $1,005	859%
Medica Of Wi	$966 - $986	904%
Cigna	$974	912%
Healtheos By Multiplan Inc.	$974 - $984	912%
Corvel	$984	921%
First Health	$984	921%
Health Partners	$984	921%
Three Rivers Provider Network (Trpn)	$984	921%
Trilogy	$989 - $995	926%
Coventry	$995	932%
Health Smart	$995	932%
Rising Medical Work Comp	$1,005	941%

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 $984.
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 - Minocqua 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.