CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Stoughton Hospital

Billing Code: 76536 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$168

about 1.6× the $107 Medicare rate · typically $73–$425

modeled estimate · not a bill or quote

What this hospital charges insurers

$32

Below the fair price — a good deal

about $136 under the fair price · 0.3× Medicare

Medicare pays $107 Fair price $168 This hospital $32 Cash price $436 Hospital's list price $793

How we calculate the fair BaseRate →

How this hospital compares to other WI hospitals

One of the lower prices — 6 of 8 other WI hospitals charge more for the same procedure.

Cheapest $27 Priciest $84

Black dot = this hospital, among the 9 WI hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Ultrasound, thyroid and neck is about $168 (about 1.6× the $107 Medicare rate). Stoughton Hospital charges insurers about $32, or about $436 in cash — below the fair price — a good deal. Located in Stoughton, WI.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$25 - $1,071	23%
Blue Cross Blue Shieldmajor	$28 - $1,165	26%
Aetnamajor	$25 - $1,138	23%
Cignamajor	$197 - $1,071	184%
Humanamajor	$32 - $1,205	30%
Dean Health Plan	$25 - $570	23%
GEHA	$185 - $1,004	173%
Health Net	$22 - $356	21%
Quartz	$25 - $449	23%
+ 2 smaller / regional plans	$72 - $1,205

Government programs also on file: Medicaid, Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 436), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 76536.

Insurance Before you use insurance

Call your insurance company to confirm Stoughton Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 76536.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Stoughton Hospital

Compare: Ultrasound, thyroid and neck at other WI hospitals

Insurance negotiated median for the same procedure, sorted lowest first.