CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Columbus Community Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $192
Cash Discount Price: $389
vs. Medicare Baseline: 1.80x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Columbus Community Hospital is $192. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $389. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.80x the Medicare baseline. Located in 1515 Park Ave, Columbus, WI.

Cash / Self-Pay

$389

Average discount available for prompt cash payment at this facility.

Insurance Median

$192

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: $389 (364%)

Insurance Median: $192 (180%)

Cash: $389 (364% of Medicare)

Ins. Median: $192 (180% 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
Icare	$22 - $388	21%
Cigna	$45 - $800	42%
Quartz	$49 - $879	46%
Health Payment Systems	$56 - $1,004	52%
Security Health Plan	$56 - $999	52%
Blue Cross Blue Shield	$58 - $1,030	54%
Trilogy	$62 - $1,097	58%
UnitedHealthcare	$62 - $1,111	58%
Wps	$63 - $1,127	59%
Healtheos	$65 - $1,244	61%
First Health	$66 - $1,177	62%
Humana	$68 - $1,204	64%
Alliance	$105	98%
Dean Health Plan	$107 - $853	100%
My Choice Wisconsin	$107 - $192	100%

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 $389.
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 Columbus Community 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.