CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Adventist Health Bakersfield

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $199
  • Cash Discount Price: $72
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Adventist Health Bakersfield is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $72. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.86x the Medicare baseline. Located in 2615 Chester Avenue, Bakersfield, CA.
Cash / Self-Pay
$72

Average discount available for prompt cash payment at this facility.

Insurance Median
$199

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: $72 (67%)
Insurance Median: $199 (186%)
Cash: $72 (67% of Medicare)
Ins. Median: $199 (186% 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
Aetna $26 - $478 24%
Blue Shield Mcr Adv $27 - $134 25%
Fhcn Pace Mcr Adv - All Plans $27 - $134 25%
Gem Care- All Plans $27 - $648 25%
Healthnet Mcr Adv $27 - $134 25%
Kern Legacy Share Select $27 - $648 25%
Oscar - All Plans $27 - $215 25%
Premier Physician Alliance Profee Only-All Plans $27 25%
UnitedHealthcare $27 - $563 25%
County Of Kern - All Plans $30 - $648 28%
Employee Health Plan - All Plans $30 - $242 28%
Kern Legacy Hp Epo - All Other Plans $30 - $648 28%
Blue Shield Epn $34 - $430 32%
Cigna $35 - $610 33%
Network Provdrs Llc Mcare -All Payers $35 - $175 33%
Blue Shield Epo/Ppo $36 - $478 34%
Blue Shield Hmo/Pos - All Other Plans $36 - $478 34%
Healthnet Hmo/Pos/Ppo/Epo - All Other Plans $39 - $965 37%
Bc Medi-Cal $40 - $60 37%
Western Growers/Pinnacle- All Plans $40 - $638 37%
Centivo - All Plans $41 - $303 38%
Medi-Cal $60 - $86 56%
Universal Hc Mcal Profee Only $60 56%
Kern Health Systems Mcal $84 - $111 79%
Kaiser Mcal Ip/Op Only $86 81%
Healthnet Mcal $102 95%
Kaiser Mcr Adv Ip/Op Only $134 125%
Universal Health Plan Mcare-All Other Plans $134 125%
Amrcn Indian Hlth Proj Mcr Adv - All Plans $161 151%
Kaiser Comm Hmo Ip/Op Only-All Other Plans $231 216%
First Health/Coventry- All Plans $290 - $777 272%
Phcs- All Plans $314 - $842 294%
Interplan- All Plans $338 - $906 316%
Blue Cross Blue Shield $349 - $388 327%
Affiliated Health Funds-All Plans $386 - $1,036 361%
Integrated Health Plan-All Plans $386 - $1,036 361%
Three Rivers Provider Network- All Plans $386 - $1,036 361%
Beech Street- All Plans $411 - $1,101 385%
Galaxy Health Network- All Plans $435 - $1,166 407%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2615 Chester Avenue, Bakersfield, CA 93301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals