CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Caribbean Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $40
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.37x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Caribbean Medical Center is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.37x the Medicare baseline. Located in 151 Ave Osvaldo Molina, Fajardo, PR.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

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%)
Insurance Median: $40 (37%)
Ins. Median: $40 (37% 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
Menonita Ases $22 - $93 21%
Veteran Administration $24 - $26 22%
Humana $26 - $83 24%
Medicare (plans) $26 - $91 24%
Mmm $26 - $77 24%
Tricare $26 - $91 24%
Champva $27 - $91 25%
First Medical Ases $27 - $86 25%
Mmm Multi Health Ases $27 - $86 25%
Triples S Reforma $27 - $44 25%
Health First $28 26%
UnitedHealthcare $28 - $40 26%
Well Care $28 - $91 26%
Tsa $29 - $91 27%
Auxilio Mutuo $30 - $60 28%
Auxilio Mutuo Plus $30 - $60 28%
Triple S Privado $30 - $40 28%
Union Carpinteros $32 - $40 30%
Imc Privado $35 - $40 33%
Mcs Classicare $35 - $40 33%
Mcs Privado $35 - $40 33%
Menonita Privado $38 - $75 36%
Acaa $40 - $42 37%
Ace $40 37%
American Health $40 37%
Asociacion De Maestros Pr $40 - $60 37%
Atlantic Southern $40 37%
Cfse $40 - $120 37%
Cigna $40 37%
Comercial Others $40 37%
Cosvi Seg Esco $40 37%
Global Health Plan $40 37%
Hoffa $40 - $42 37%
Int Life Insurance $40 37%
Mapfre $40 - $42 37%
National Life Seg Esco $40 37%
Panamerican Life Insurance $40 37%
Preferrd Health $40 37%
Union Independiente Acueductos $40 37%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Ave Osvaldo Molina, Fajardo, PR 00738
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals