CMS Price Transparency Data
Ultrasound, thyroid and neck
Facility: Whittier Hospital Medical Center
Billing Code: 76536 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76536
- Insurance Median: $168
- Cash Discount Price: $275
- vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Whittier Hospital Medical Center is $168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $275. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.57x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
$275
Average discount available for prompt cash payment at this facility.
Insurance Median
$168
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: $275 (257%)
Insurance Median: $168 (157%)
Cash: $275 (257% of Medicare)
Ins. Median: $168 (157% 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 |
|---|---|---|
| Blue Cross Blue Shield | $17 - $1,018 | 16% |
| Ahmc Medi-Cal Reciprocity Agreement | $60 | 56% |
| Aids Healthcare Foundation | $60 - $132 | 56% |
| Allied Physicians | $60 - $202 | 56% |
| Alta Med Health Network | $60 - $132 | 56% |
| Altamed Health Services Corporation | $60 | 56% |
| Beverly Hospital | $60 - $148 | 56% |
| Brand New Day | $60 - $165 | 56% |
| Emanate Health | $60 - $165 | 56% |
| Health Net | $60 - $1,218 | 56% |
| Healthy Way La | $60 | 56% |
| Heritage Provider Network | $60 - $182 | 56% |
| Kaiser Foundation | $60 - $1,425 | 56% |
| La Care Healthy Families/Healthy Kids | $60 | 56% |
| Non Contracted Medi-Cal | $60 | 56% |
| Prospect Health Plan | $60 - $215 | 56% |
| Synermed | $60 - $134 | 56% |
| La Care Health Plan | $69 - $1,120 | 65% |
| Alliance Imaging | $75 | 70% |
| Capnet | $81 | 76% |
| Caloptima | $84 - $132 | 79% |
| Monarch Healthplan | $84 | 79% |
| Avanti | $86 - $161 | 81% |
| Care First Health Plan | $86 | 81% |
| County Of Los Angeles Dept Of Health Services | $86 | 81% |
| Hollywood Presbyterian Adv Med Mcal | $86 | 81% |
| Hollywood Presbyterian Medpoint Mcal | $86 | 81% |
| Medi Caid/ Medi Cal | $86 | 81% |
| Pacific Independent Physician Association | $86 - $611 | 81% |
| Veterans Administration | $94 | 88% |
| Applecare Medical Group | $117 | 110% |
| Aetna | $132 - $1,482 | 124% |
| Alta Los Angeles Hospitals Inc | $132 | 124% |
| Apa/Aco Inc | $132 | 124% |
| Central Health Plan | $132 | 124% |
| Easy Choice Health Plan | $132 | 124% |
| Humana | $132 | 124% |
| Medicare (plans) | $132 - $139 | 124% |
| Pacificare Of California | $132 | 124% |
| Scan Health Plan | $132 | 124% |
| Blue Shield Of California | $134 - $1,018 | 125% |
| Caremore | $134 | 125% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $134 | 125% |
| La Care Covered Direct | $134 | 125% |
| Pacific Alliance Medical Center | $134 | 125% |
| Private Pay | $134 | 125% |
| Self-Pay | $134 | 125% |
| Tricare | $134 | 125% |
| Alignment Health Plan | $139 | 130% |
| Molina Healthcare Of California | $139 | 130% |
| San Miguel Health Plan | $148 | 139% |
| Chinatown Service Center Pace | $161 | 151% |
| Ahmc Health | $168 | 157% |
| Knox-Keene Act | $168 | 157% |
| Molina Medical Center | $168 - $794 | 157% |
| Fmc Los Angeles County | $170 - $1,527 | 159% |
| Interplan Health Group | $173 | 162% |
| UnitedHealthcare | $178 - $1,771 | 167% |
| Athens Administrators Ahmc Work Comp | $179 | 168% |
| Misc 1 | $179 | 168% |
| Multiplan Wc | $179 | 168% |
| Physician Healthways | $204 | 191% |
| Cigna | $241 | 226% |
| Davita Healthcare Partners | $287 | 269% |
| Health Net Inc | $330 - $1,323 | 309% |
| Healthnet | $404 - $1,413 | 378% |
| Physicians Healthways Medical Corporation | $509 | 477% |
| Ahmc Reciprocity | $611 | 572% |
| Ahmc Reciprocity Agreement Senior/Commercial | $611 | 572% |
| Wear And Wood | $611 - $814 | 572% |
| Edward Medical Group | $713 | 668% |
| Central Health Plan Of California | $814 | 762% |
| Allied Physicians Ipa | $916 | 858% |
| Prospect Medical | $1,120 | 1049% |
| Care 1St Health Plan | $1,222 | 1144% |
| New Horizon Medical Group Inc | $1,222 | 1144% |
| Cost Containment | $1,323 | 1239% |
| Universal Care | $1,323 - $1,425 | 1239% |
| Asi/Flex | $1,425 | 1334% |
| Us Comp Care | $1,425 | 1334% |
| Value Healthplan Of California | $1,425 | 1334% |
| Community Care Network | $1,527 | 1430% |
| Coventry Health Care | $1,527 | 1430% |
| Coventry Health Care National Network | $1,527 | 1430% |
| Interplan Corporation | $1,527 | 1430% |
| Managed Care Administrators | $1,527 | 1430% |
| Prohealth | $1,527 | 1430% |
| Multiplan | $1,731 | 1621% |
| Commercial Non Contract | $2,036 | 1906% |
| Medi-Cal Sub Acute | $2,036 | 1906% |
| One Legacy | $2,036 | 1906% |
| Great-West Healthcare Of California | $2,500 | 2341% |