CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Martin Luther King, Jr. Community Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $152
Cash Discount Price: $492
vs. Medicare Baseline: 1.42x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Martin Luther King, Jr. Community Hospital is $152. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $492. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.42x the Medicare baseline. Located in 1680 East 120Th Street, Los Angeles, CA.

Cash / Self-Pay

$492

Average discount available for prompt cash payment at this facility.

Insurance Median

$152

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: $492 (461%)

Insurance Median: $152 (142%)

Cash: $492 (461% of Medicare)

Ins. Median: $152 (142% 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.

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
Preferred Professional Medical Corporation (Ipa) Of California	$22 - $100	21%
Alta	$60 - $134	56%
Brand New Day	$60 - $2,737	56%
Care1St Health	$60 - $134	56%
Molina Healthcare	$63 - $168	59%
La Care Health	$108	101%
Heritage Provider Network (Hpn)	$128	120%
UnitedHealthcare	$135 - $1,954	126%
Health Net	$152 - $1,368	142%
La Care Health Pasc-Seui	$157	147%
La Care Health Plan	$157	147%
Santa Monica Unite Here	$239	224%
Blue Shield Of California	$252 - $2,071	236%
Multiplan	$492 - $3,649	461%

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 $492.
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 Martin Luther King, Jr. Community 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.