CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Bella Vista Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $75
  • Cash Discount Price: $90
  • vs. Medicare Baseline: 0.70x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Bella Vista Hospital is $75. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $90. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.70x the Medicare baseline. Located in Carr 349 Km 2 7 Cerro Las Mesas, Mayaguez, PR.
Cash / Self-Pay
$90

Average discount available for prompt cash payment at this facility.

Insurance Median
$75

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: $90 (84%)
Insurance Median: $75 (70%)
Cash: $90 (84% of Medicare)
Ins. Median: $75 (70% 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
Mapfre Life Insurance Life Insurance $30 28%
Triple S $30 28%
Mcs $35 33%
Medicare (plans) $35 - $79 33%
International Medical Card $40 37%
Acaa $42 39%
Triple S Vital $44 - $86 41%
Fondo Del Seguro Del Estado $53 50%
First Medical Vital $64 60%
Plan Salud Menonita Vital $64 60%
Plan Salud Menonita $75 70%
Servicios De Salud Bella Vista $75 70%
Preferred Medical Choice(Pmc) $79 74%
Asociacion Maestros (Prossam) $80 75%
Triple S Advantage $80 - $81 75%
Champva $92 86%
Tricare $92 86%
UnitedHealthcare $92 86%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: Carr 349 Km 2 7 Cerro Las Mesas, Mayaguez, PR 00681
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals