CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Ventura County Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $175
  • Cash Discount Price: $632
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Ventura County Medical Center is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $632. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.64x the Medicare baseline. Located in 300 Hillmont Avenue, Ventura, CA.
Cash / Self-Pay
$632

Average discount available for prompt cash payment at this facility.

Insurance Median
$175

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: $632 (592%)
Insurance Median: $175 (164%)
Cash: $632 (592% of Medicare)
Ins. Median: $175 (164% 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
Hpn Ip/Op Only Medi-Cal $86 81%
Kaiser Medi-Cal Ip/Op Only $86 81%
Medi-Cal $86 81%
Kaiser Mcal Pediatric Ip/Op Only $94 88%
Clinicas Mcal $107 100%
Americas Hp Mcal Ip/Op Only $111 104%
Tricare $130 122%
Alignment Hp - All Plans $134 125%
Blue Shield Mcr Adv $134 125%
Humana $134 125%
UnitedHealthcare $138 - $691 129%
Healthnet Mcr Adv $141 132%
Gold Coast Medi-Cal-All Plans $151 141%
Clinicas Mcr Adv $153 143%
Americas Hp Mcr Adv Ip/Op Only $155 145%
Scan-All Plans $161 151%
Blue Shield Comm - All Other Plans $164 154%
Western Growers-All Plans $168 157%
Clinicas Comm - All Other Plans $175 164%
Imperial-All Plans $175 164%
Ntwrk Provdrs-All Plans $175 164%
Americas Hp Comm Ip/Op Only-All Other Plans $202 189%
Vchcp-All Plans $240 225%
Cigna $364 341%
Blue Shield Epn $490 459%
Healthnet Comm-All Other Plans $695 651%
Kaiser Comm Pediatric Ip/Op Only $695 651%
Aetna $733 - $1,263 686%
Blue Cross Blue Shield $760 712%
Multiplan/Claritev-All Plans $1,010 946%
Three Rivers Ip/Op Only-All Plans $1,010 946%
Ppo Next Ip/Op Only-All Plans $1,137 1065%
Kaiser Mcr Pediatric Ip/Op Only $1,263 1182%
Medicare (plans) $1,263 1182%
Hpn Comm Ip/Op Only-All Other Plans $1,793 1679%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Hillmont Avenue, Ventura, CA 93003
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals