CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Bellin Health Oconto Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $347
Cash Discount Price: $301
vs. Medicare Baseline: 3.25x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Bellin Health Oconto Hospital is $347. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $301. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.25x the Medicare baseline. Located in 820 Arbutus Ave, Oconto, WI.

Cash / Self-Pay

$301

Average discount available for prompt cash payment at this facility.

Insurance Median

$347

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: $301 (282%)

Insurance Median: $347 (325%)

Cash: $301 (282% of Medicare)

Ins. Median: $347 (325% 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 325% of the Medicare baseline (a markup of 225%). 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
Blue Cross Blue Shield	$157 - $389	147%
Community Care	$157	147%
Humana	$157	147%
My Choice	$157	147%
Network Health	$157 - $394	147%
UnitedHealthcare	$190 - $324	178%
Aetna	$232	217%
Cigna	$327 - $333	306%
Common Ground	$337 - $346	316%
Chorus Community Health Plan	$347	325%
Aspirus Arise	$362	339%
Healthsmart	$370	346%
Ihs(Claimsbridge)	$370	346%
Medical College Of Wi	$370	346%
Hps/Paymedix	$380 - $412	356%
Wps Insurance	$389	364%
Allied National	$394	369%
First Health	$394	369%
Galaxy Health	$394	369%
Three Rivers Provider Network	$417	390%
Trilogy	$417	390%

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 $301.
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 Bellin Health Oconto 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.