CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Hudson Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $198
Cash Discount Price: $232
vs. Medicare Baseline: 1.85x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Hudson Hospital is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $232. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.85x the Medicare baseline. Located in 405 Stageline Road, Hudson, WI.

Cash / Self-Pay

$232

Average discount available for prompt cash payment at this facility.

Insurance Median

$198

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: $232 (217%)

Insurance Median: $198 (185%)

Cash: $232 (217% of Medicare)

Ins. Median: $198 (185% 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.

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
Blue Cross Blue Shield	$94 - $462	88%
Medicare (plans)	$96 - $206	90%
UnitedHealthcare	$100 - $964	94%
Medicaid / KanCare	$104 - $222	97%
Healthpartners [900713]	$196	184%
Medica [900156]	$198 - $729	185%
First Health Network [950334]	$400 - $542	374%
Ma Wisconsin Replacement [950271]	$444 - $602	416%

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 $232.
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 Hudson 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.