CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Hospital Perea

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $44
  • Cash Discount Price: $135
  • vs. Medicare Baseline: 0.41x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Hospital Perea is $44. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $135. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.41x the Medicare baseline. Located in 15 Dr Basora Street, Mayaguez, PR.
Cash / Self-Pay
$135

Average discount available for prompt cash payment at this facility.

Insurance Median
$44

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: $135 (126%)
Insurance Median: $44 (41%)
Cash: $135 (126% of Medicare)
Ins. Median: $44 (41% 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 - $48 22%
Humana $29 - $37 27%
Va $29 27%
Mapfre $30 28%
Cigna $35 33%
Mc $35 33%
Mcs $35 - $59 33%
Plan De Salud Menonita $38 - $42 36%
Triple S $40 - $91 37%
Mso $42 - $59 39%
Comerciales $45 42%
Prossam $47 44%
Privado $50 47%
Bella Vista $55 51%
Medicare (plans) $59 55%
Tricare $59 55%
Bl $60 56%
Ch $62 58%
Aarp $75 70%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15 Dr Basora Street, Mayaguez, PR 00681
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals