CMS Price Transparency Data
Ultrasound, thyroid and neck
Facility: Clovis Community Medical Center
Billing Code: 76536 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76536
- Insurance Median: $107
- Cash Discount Price: $998
- vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Clovis Community Medical Center is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $998. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.00x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
$998
Average discount available for prompt cash payment at this facility.
Insurance Median
$107
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: $998 (934%)
Insurance Median: $107 (100%)
Cash: $998 (934% of Medicare)
Ins. Median: $107 (100% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Advantek Table Mountain Rancheria Tribal Member | $27 - $134 | 25% |
| Aetna | $27 - $624 | 25% |
| Blue Cross Blue Shield | $27 - $793 | 25% |
| Blue Shield | $27 - $710 | 25% |
| Blue Shield 65 Plus Hmo Ehs | $27 - $134 | 25% |
| Blue Shield 65 Plus Hmo First Choice | $27 - $134 | 25% |
| Blue Shield Hmo-Cvmp/Medpro | $27 - $134 | 25% |
| Blue Shield Promise - Imperial | $27 - $134 | 25% |
| Blue Shield Saint Agnes | $27 - $134 | 25% |
| Blue Shield Sante | $27 - $134 | 25% |
| Brand New Day | $27 - $134 | 25% |
| Bscphp - Dhmso | $27 - $134 | 25% |
| Bscphp - First Choice | $27 - $134 | 25% |
| Bscphp Hmo - First Choice | $27 - $134 | 25% |
| Care1St Hmo - Ehs | $27 - $134 | 25% |
| Cares Act Provider Relief Fund | $27 - $134 | 25% |
| Cigna | $27 - $773 | 25% |
| Gemcare Hmo | $27 - $134 | 25% |
| Generic | $27 - $134 | 25% |
| Generic Bscphp | $27 - $134 | 25% |
| Generic Victims Of Crime | $27 - $134 | 25% |
| Hartford Life Supplement | $27 - $134 | 25% |
| Healthnet Hmo - Cvmp/Medpro | $27 - $134 | 25% |
| Healthnet Hmo - Dhmso | $27 - $134 | 25% |
| Healthnet Hmo - La Salle | $27 - $134 | 25% |
| Healthnet Hmo - Sante | $27 - $134 | 25% |
| Healthnet Sante | $27 - $134 | 25% |
| Healthnet Sante - Sub Cap Dual Risk | $27 - $134 | 25% |
| Healthnet Sante Dual Risk | $27 - $134 | 25% |
| Humana | $27 - $1,060 | 25% |
| Medi-Cal Innovative Integrated Health | $27 - $134 | 25% |
| Medicare (plans) | $27 - $134 | 25% |
| Meritage Blue Shield 65 Plus | $27 - $134 | 25% |
| Meritage Brand New Day | $27 - $134 | 25% |
| Meritage Healthnet Hmo | $27 - $134 | 25% |
| Railroad Part A | $27 - $134 | 25% |
| Railroad Part A & B | $27 - $134 | 25% |
| Railroad Part B | $27 - $134 | 25% |
| Sante | $27 - $134 | 25% |
| Sante Sub Cap Healthnet Seniority | $27 - $134 | 25% |
| Sante Sub Cap-Blue Shield/Sante | $27 - $134 | 25% |
| Sante-Blue Shield/Sante | $27 - $134 | 25% |
| Sante-Healthnet Seniority | $27 - $134 | 25% |
| Sante-Sub Cap Ma Brand New Day | $27 - $134 | 25% |
| Scan Health Plan | $27 - $134 | 25% |
| Sequoia Pace - Peak Tpa | $27 - $134 | 25% |
| Todays Pyramid | $27 - $134 | 25% |
| UnitedHealthcare | $27 - $654 | 25% |
| Us Marshal | $27 - $134 | 25% |
| Victims Of Crime | $27 - $134 | 25% |
| Well Path (Cfmg) | $27 - $1,372 | 25% |
| Wellcare | $27 - $134 | 25% |
| Alignment Health Plan | $30 - $148 | 28% |
| Champion Health Plan Of California Ma | $30 - $148 | 28% |
| Innovative Integrated Health Community Plans Hmo | $30 - $148 | 28% |
| Imperial Health Plan Hmo | $31 - $155 | 29% |
| Correctcare Integrated Health | $35 - $175 | 33% |
| Coalinga State Hospital | $54 - $269 | 51% |
| Naphcare Inc-Mendota | $58 - $289 | 54% |
| Cal Caloptima | $60 | 56% |
| Ccs Fresno | $60 | 56% |
| Ccs Kern | $60 | 56% |
| Ccs Kings | $60 | 56% |
| Ccs Madera/Sacramento | $60 | 56% |
| Ccs Mariposa | $60 | 56% |
| Ccs Merced | $60 | 56% |
| Ccs Stanislaus | $60 | 56% |
| Ccs Tulare | $60 | 56% |
| Chdp | $60 | 56% |
| Fresno County Funded Specialty Care | $60 | 56% |
| Generic Care Out Of County | $60 | 56% |
| Generic Ccs Other Counties | $60 | 56% |
| Genetically Handicapped Person | $60 | 56% |
| Gold Coast Medi-Cal | $60 | 56% |
| Medi-Cal Alameda Alliance For Health | $60 | 56% |
| Medi-Cal Blue Shield Promise Health | $60 | 56% |
| Medi-Cal California Health & Wellness Plan | $60 | 56% |
| Medi-Cal Cencal Health | $60 | 56% |
| Medi-Cal Community Health Group | $60 | 56% |
| Medi-Cal Contra Costa Health Plan | $60 | 56% |
| Medi-Cal Health Plan Of San Mateo | $60 | 56% |
| Medi-Cal Inland Empire Health | $60 | 56% |
| Medi-Cal Kern Family Health | $60 | 56% |
| Medi-Cal La Care Health | $60 | 56% |
| Medi-Cal Molina | $60 | 56% |
| Medi-Cal Partnership Health Plan Of Ca | $60 | 56% |
| San Francisco Health Plan Medi-Cal | $60 | 56% |
| Santa Clara Family Health Plan - Premier Health | $60 | 56% |
| Santa Clara Family Health Plan - Valley Health | $60 | 56% |
| Health Plan Of San Joaquin | $90 | 84% |
| Sequoia Pace | $90 | 84% |
| Adventist -Mcl Calviva Sub Cap | $99 | 93% |
| Kaiser | $107 | 100% |
| Healthnet | $115 - $732 | 108% |
| Central Valley Medical Providers | $312 - $873 | 292% |
| Community Care | $318 | 298% |
| Employer 90/40 | $499 | 467% |
| Central Ca Indian Health | $686 | 642% |
| Nx Health Network Ppo | $686 | 642% |
| Healthsmart | $848 - $998 | 794% |
| Coventry Health Care (First Health Network) | $935 | 875% |
| Network By Design | $935 | 875% |
| Generic Multiplan | $1,060 | 992% |
| Phcs | $1,060 | 992% |