CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Chinese Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $160
Cash Discount Price: $1,313
vs. Medicare Baseline: 1.50x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Chinese Hospital is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,313. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.50x the Medicare baseline. Located in 845 Jackson St, San Francisco, CA.

Cash / Self-Pay

$1,313

Average discount available for prompt cash payment at this facility.

Insurance Median

$160

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: $1,313 (1229%)

Insurance Median: $160 (150%)

Cash: $1,313 (1229% of Medicare)

Ins. Median: $160 (150% 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.

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	$86 - $212	81%
Medi-Cal	$86	81%
San Francisco Health Plan- All Plans	$86	81%
Hp Of San Mateo Medi-Cal	$105	98%
Hp Of San Mateo Health Kids/Health Worx-All Other	$114	107%
Blue Shield Medi-Cal	$116	109%
Asian Medical Group Medi-Cal Op Only	$120	112%
Aetna	$151 - $634	141%
Cchp Mcr Adv	$151	141%
Jade Mcr Adv	$151	141%
Jade Medi-Cal	$154	144%
Jade-All Other Plans	$166	155%
On Lok Mcr Adv-All Plans	$166	155%
Blue Shield - All Other Plans	$261	244%
Health Net-All Plans	$696	652%
Cigna	$722	676%
Cchp-All Other Plans	$1,116	1045%
Hp Of San Mateo Mcr Adv	$1,182	1107%
Asian Medical Group Mcare Op Only-All Other Plans	$1,313	1229%
Bay Area Accountable Care Mcare	$1,313	1229%
Bay Area Accountable Care - All Other Plans	$2,363	2212%

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 $1,313.
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 Chinese 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.