CMS Price Transparency Data
Ultrasound, thyroid and neck
Facility: Monterey Park Hospital
Billing Code: 76536 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76536
- Insurance Median: $165
- Cash Discount Price: $2,132
- vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Monterey Park Hospital is $165. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,132. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.54x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$2,132
Average discount available for prompt cash payment at this facility.
Insurance Median
$165
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: $2,132 (1996%)
Insurance Median: $165 (154%)
Cash: $2,132 (1996% of Medicare)
Ins. Median: $165 (154% 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 | $19 - $1,066 | 18% |
| La Care Health Plan | $53 - $1,173 | 50% |
| Access Ipa Ancillary | $60 | 56% |
| Accountable Ipa | $60 | 56% |
| Ahmc Healthcare Inc | $60 - $640 | 56% |
| Allied Physicians | $60 - $202 | 56% |
| Alta Med Health Services Corp | $60 - $533 | 56% |
| Altamed Health Network | $60 - $132 | 56% |
| Altamed Health Services | $60 | 56% |
| Applecare Medical Group | $60 - $108 | 56% |
| Assess Ipa | $60 | 56% |
| Associated Hispanic Physicians Ancillary | $60 | 56% |
| Beverly Hospital | $60 - $148 | 56% |
| Brand New Day | $60 - $168 | 56% |
| Care 1St Mcl/Gar Cap | $60 | 56% |
| Community Health Plan | $60 | 56% |
| Esperanza Medical Group Ipa | $60 | 56% |
| Family Health Alliance Medical Group | $60 - $500 | 56% |
| Health Net Medi Cal | $60 | 56% |
| Healthnet Inc | $60 | 56% |
| Healthy Way La | $60 | 56% |
| La Care | $60 - $134 | 56% |
| Medical Managed Care Program | $60 | 56% |
| Molina Healthcare | $60 | 56% |
| Other Non-Contracted Medi-Cal | $60 | 56% |
| Preferred Ipa | $60 - $168 | 56% |
| Preferred Ipa Of California | $60 | 56% |
| Alhambra Community Dialysis Unit Inc | $77 - $1,279 | 72% |
| Aids Health Foundation | $86 - $132 | 81% |
| Avanti | $86 - $161 | 81% |
| Bella Vista Medical Group Ancillary | $86 | 81% |
| Central Health Plan | $86 | 81% |
| Emanate Health | $86 - $168 | 81% |
| Hollywood Presbyterian Adv Med Mcal | $86 | 81% |
| Hollywood Presbyterian Medpoint Mcal | $86 | 81% |
| Maxi Med Inc/Ipa | $86 - $134 | 81% |
| Medi Cal | $86 | 81% |
| Pacific Independent Physician Association | $86 - $640 | 81% |
| Veterans Administration | $94 | 88% |
| Bella Vista Medical Group | $108 - $640 | 101% |
| Senior Citizens Choice | $119 | 111% |
| Caloptima Direct | $126 | 118% |
| Alignment Health Plan | $130 | 122% |
| Aetna | $132 - $1,552 | 124% |
| Apa/Aco Inc | $132 | 124% |
| Blue Shield Of California | $132 - $1,066 | 124% |
| Cms | $132 | 124% |
| Easy Choice Health Plan | $132 | 124% |
| First Health Senior | $132 | 124% |
| Foundation Health Plan | $132 | 124% |
| Health Net | $132 - $1,386 | 124% |
| Health Net Inc | $132 - $1,509 | 124% |
| Humana | $132 | 124% |
| Medicare (plans) | $132 - $139 | 124% |
| Scan Health Plan | $132 | 124% |
| Secure Horizons | $132 | 124% |
| Ucla/Impact Cancer | $132 | 124% |
| UnitedHealthcare | $132 - $1,492 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $134 | 125% |
| La Care Covered Direct | $134 | 125% |
| Self-Pay | $134 | 125% |
| Molina Healthcare Medi-Connect | $139 | 130% |
| San Miguel Health Plan | $148 | 139% |
| Ahmc Health Epo | $168 | 157% |
| Knox-Keene Act | $168 | 157% |
| Molina Healthcare Of California | $168 | 157% |
| Preferred Health Network | $169 - $1,706 | 158% |
| Interplan | $173 - $1,599 | 162% |
| Asi Flex Ppo W/C | $178 | 167% |
| Athens Administrators | $178 | 167% |
| Indemnity W Comp Fee Schedule | $178 | 167% |
| Multiplan | $178 - $1,812 | 167% |
| Pacificare | $178 - $445 | 167% |
| Altamed Health Services Corporation | $213 | 199% |
| Care 1St M Cal | $213 | 199% |
| Crown City Medical Group Inc | $213 | 199% |
| Garfield Medical Center | $213 | 199% |
| Physician Healthways | $213 - $533 | 199% |
| Universal Care M Cal/Advantage Health Network | $213 | 199% |
| Cigna | $241 | 226% |
| Health Net Of California | $400 - $1,275 | 374% |
| Employee Health Systems Medical Group | $426 | 399% |
| Global Care Medical Group Ipa | $426 - $959 | 399% |
| Healthnet/Ehs Capitation | $426 | 399% |
| Hispanic Physicians Ipa Medical Corporation | $533 | 499% |
| Ahmc Reciprocity Agreement Senior/Commercial | $640 | 599% |
| Allied Physicians Ipa | $640 | 599% |
| Community Health Plan M Cal Joy Ipa | $640 | 599% |
| Tenet Reciprocity | $640 | 599% |
| Healthcare Partners Affiliates Medical Group | $761 | 712% |
| One Health Plan | $775 - $1,279 | 726% |
| Molina Medical Centers | $831 | 778% |
| Central Health Plan Of California | $853 | 799% |
| Corvel Corporation | $925 - $1,706 | 866% |
| Universal Care | $1,000 - $1,250 | 936% |
| Care 1St Health Plan | $1,279 | 1197% |
| Greater Los Angeles Dialysis Inc | $1,279 | 1197% |
| Choice Care Network | $1,386 | 1298% |
| Healthnet | $1,386 | 1298% |
| Bce Emergis Corp | $1,812 | 1696% |
| Commercial Non Contract | $2,132 | 1996% |
| Mri/Ct Greater El Monte Hospital | $2,132 | 1996% |
| Mri/Mra/Alhambra Hospital | $2,132 | 1996% |
| Mri/Mra/Eladh | $2,132 | 1996% |
| One Legacy | $2,132 | 1996% |