CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Adventist Health Tehachapi Valley

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $186
  • Cash Discount Price: $126
  • vs. Medicare Baseline: 1.74x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Adventist Health Tehachapi Valley is $186. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $126. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.74x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.
Cash / Self-Pay
$126

Average discount available for prompt cash payment at this facility.

Insurance Median
$186

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: $126 (118%)
Insurance Median: $186 (174%)
Cash: $126 (118% of Medicare)
Ins. Median: $186 (174% 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.

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
Aetna $26 - $465 24%
Healthnet Mcare $27 - $214 25%
Tricare $27 - $214 25%
UnitedHealthcare $27 - $551 25%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla $27 - $214 25%
Network Providers- All Plans $29 - $273 27%
Ah Employee Health Plan - All Plans $30 - $596 28%
Oscar Health Plan- All Plans $31 - $171 29%
Cigna $32 - $878 30%
Coventry- All Plans $32 - $1,012 30%
Blue Shield Epn- All Other Plans $34 - $475 32%
Blue Shield Non-Epn $36 - $562 34%
Healthnet- All Other Plans $39 - $865 37%
Western Grwrs/Pinnacle - All Plans $40 - $472 37%
Centivo - All Plans $41 - $481 38%
Medi-Cal $60 - $86 56%
Universal Ipa Mcal Op/Profee Only $60 - $86 56%
Kaiser Medi-Cal Ip/Op Only $86 81%
Bc Mcal $88 82%
Medicare (plans) $91 - $214 85%
Healthnet Medi-Cal $105 98%
Khs-Kern Hlth Systm Mcal $111 104%
Kaiser Ip/Op Only- All Other Plans $157 - $367 147%
Klhp-Kern Legacy Epo -All Other Plans $240 - $562 225%
Blue Cross Blue Shield $249 - $648 233%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Magellan, Tehachapi, CA 93561
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals