CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Verde Valley Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $163
  • Cash Discount Price: $339
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Verde Valley Medical Center is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $339. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.53x the Medicare baseline. Located in 269 South Candy Lane, Cottonwood, AZ.
Cash / Self-Pay
$339

Average discount available for prompt cash payment at this facility.

Insurance Median
$163

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: $339 (317%)
Insurance Median: $163 (153%)
Cash: $339 (317% of Medicare)
Ins. Median: $163 (153% 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.

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
UnitedHealthcare $75 - $1,023 70%
Devoted $104 - $123 97%
Health Choice $104 - $229 97%
University Of Arizona Health Plans $104 - $129 97%
Mercy Care Rhba $106 99%
Va Pccc Triwest $106 - $119 99%
Health Choice Integrated Care $108 101%
Ahcccs $109 102%
Ahcccs Other $110 103%
Care 1St $110 103%
Health Choice Arizona $110 103%
Health Net Of Arizona $110 103%
Mercy Care $110 103%
Nhi Out Of State Ahcccs $110 103%
Vvmc Jail $110 103%
Health Net Federal $112 105%
Aetna $118 - $959 110%
Community Health Center Of Yavapai $118 110%
Humana $118 110%
Medicare (plans) $118 110%
Mercy Care Advantage $118 110%
Snf Vvmc $118 110%
Vvmc 30/70 $118 110%
Wellcare $118 110%
Wellcare By Allwell $118 110%
Self Pay $125 - $1,106 117%
Self-Pay 50% Discount $125 - $553 117%
Ambetter / Centene $135 126%
Gold Kidney $141 132%
Blue Cross Blue Shield $146 - $805 137%
Workers Comp $163 - $719 153%
Pnoa-Provider Network Of America $179 168%
Copperpoint $183 - $805 171%
Naphcare $185 - $239 173%
Cigna $226 - $995 212%
Vvmc 90/10 $226 - $995 212%
Auto Insurance $5,000 4681%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 269 South Candy Lane, Cottonwood, AZ 86326
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals