CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Hospital San Francisco

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $58
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 0.54x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Hospital San Francisco is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.54x the Medicare baseline. Located in 371 De Diego Ave, San Juan, PR.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$58

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: $50 (47%)
Insurance Median: $58 (54%)
Cash: $50 (47% of Medicare)
Ins. Median: $58 (54% 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
First Medical $24 - $43 22%
Triple S $24 - $60 22%
Mc $35 33%
Mso $36 - $59 34%
Humana $37 - $59 35%
Mapfre $40 37%
Mcs $40 - $59 37%
Aarp $46 43%
Privado $48 45%
Western Medical Hospice $48 45%
Acaa $51 48%
Comerciales $54 51%
Bl $58 54%
Cigna $58 54%
Medicaid / KanCare $58 54%
Prossam $58 54%
Va $58 54%
Medicare (plans) $59 55%
Tricare $59 55%
Corvel Network $60 56%
Fondo Del Seguro Estado $60 56%
Mpc-Pr Other Insurances $60 56%
Plan De Salud Menonita $60 - $84 56%
Pr Other Insurances $66 62%
Ch $90 84%
Mpc - Us $90 84%
UnitedHealthcare $90 84%
Us $90 84%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 371 De Diego Ave, San Juan, PR 00923
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals