CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Richland Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $119
Cash Discount Price: $1,078
vs. Medicare Baseline: 1.11x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Richland Hospital is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,078. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.11x the Medicare baseline. Located in 333 E Second St, Richland Center, WI.

Cash / Self-Pay

$1,078

Average discount available for prompt cash payment at this facility.

Insurance Median

$119

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: $1,078 (1009%)

Insurance Median: $119 (111%)

Cash: $1,078 (1009% of Medicare)

Ins. Median: $119 (111% 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	$25 - $1,213	23%
Security Health	$25 - $472	23%
Group Health Coop Of Eau Claire	$26 - $3,902	24%
Care Wisconsin	$28 - $3,902	26%
Dean Health Plan	$28 - $3,902	26%
Health Tradition	$28 - $3,902	26%
UnitedHealthcare	$28 - $3,902	26%
Humana	$29 - $3,902	27%
Quartz	$29 - $3,902	27%
Aetna	$211 - $1,213	198%
Cigna	$211 - $890	198%
Employer Health Care Alliance	$211 - $944	198%

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 $1,078.
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 Richland 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.