CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Southwest Healthcare Rancho Springs Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $784
Cash Discount Price: $848
vs. Medicare Baseline: 7.34x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Southwest Healthcare Rancho Springs Hospital is $784. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $848. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 7.34x the Medicare baseline. Located in 25500 Medical Center Drive, Murrieta, CA.

Cash / Self-Pay

$848

Average discount available for prompt cash payment at this facility.

Insurance Median

$784

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: $848 (794%)

Insurance Median: $784 (734%)

Cash: $848 (794% of Medicare)

Ins. Median: $784 (734% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 734% of the Medicare baseline (a markup of 634%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Kaiser	$37 - $743	35%
Health_Net	$48 - $856	45%
United_Healthcare	$66 - $178	62%
Heritage	$72 - $958	67%
Iehp	$85	80%
Blue Cross Blue Shield	$94 - $748	88%
Aetna	$418	391%
Cigna	$674 - $898	631%
Primecare	$748 - $997	700%
Palomar	$882 - $1,176	826%
Rady_Children'S_Hospital	$1,314 - $1,751	1230%
Multiplan	$1,689 - $2,252	1581%
Sharp_Health_Plan	$1,689 - $2,252	1581%

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 $848.
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 Southwest Healthcare Rancho Springs 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.