CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Oro Valley Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $179
  • Cash Discount Price: $788
  • vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Oro Valley Hospital is $179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $788. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.68x the Medicare baseline. Located in 1551 East Tangerine Road, Oro Valley, AZ.
Cash / Self-Pay
$788

Average discount available for prompt cash payment at this facility.

Insurance Median
$179

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: $788 (738%)
Insurance Median: $179 (168%)
Cash: $788 (738% of Medicare)
Ins. Median: $179 (168% 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
Medicaid / KanCare $78 - $84 73%
Magellan $82 - $1,433 77%
Veterans Eval Services $104 97%
Aetna $105 - $454 98%
Caremore Health Plan $110 103%
Cigna $110 - $385 103%
Humana $110 103%
Medicare (plans) $110 103%
Pascua Yaqui Tribe $110 103%
Scan Health $110 103%
UnitedHealthcare $110 - $240 103%
Blue Cross Blue Shield $112 - $373 105%
Department Of Veterans Affairs $112 105%
Fresenius Health $112 105%
Node Non Par Hospice Agree $112 105%
Node Triwest $112 105%
Node Va $112 105%
Tricare $112 105%
Clover Health Mcr Adv $113 106%
Node Devoted Health Mcr Adv $113 106%
Node Banner Mcr Adv $115 108%
Wellcare Mcr Adv $115 108%
Node Us Dept Of Labor $139 130%
Ambetter / Centene $157 147%
Node Health Choice Exchange $166 155%
Node Fusion Network $201 188%
Node J Allen Inmate Health Svcs $212 198%
Health Net $234 219%
Seven Corners $257 241%
Self Pay $573 - $1,003 536%
Beacon Health Options $1,194 1118%
Mtc $1,194 1118%
First Health Coventry $1,254 1174%
Coventry Work Comp Al $1,433 1342%
Multiplan $1,982 1856%
Prime Health $2,030 1901%
Three Rivers $2,030 1901%
Healthsmart $2,149 2012%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1551 East Tangerine Road, Oro Valley, AZ 85755
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals