Ultrasound, thyroid and neck
Facility: Watsonville Community Hospital
Billing Code: 76536 (CPT)
- CPT Billing Code: 76536
- Insurance Median: $372
- Cash Discount Price: $1,614
- vs. Medicare Baseline: 3.48x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 348% of the Medicare baseline (a markup of 248%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Victim Compensation Plan | $67 - $5,009 | 63% |
| Medicruz | $67 - $902 | 63% |
| Cigna | $74 - $3,506 | 69% |
| Aetna | $74 - $4,107 | 69% |
| Blue Cross Blue Shield | $74 - $4,462 | 69% |
| Secure Horizons Dign HMO | $74 - $1,002 | 69% |
| Pacificare HMO | $74 - $3,005 | 69% |
| Blue Shield HMO | $74 - $1,002 | 69% |
| Great-West/Phcs | $74 - $3,506 | 69% |
| Health Net Pmg HMO | $74 - $3,141 | 69% |
| UnitedHealthcare | $74 - $3,005 | 69% |
| Well Path | $86 - $5,009 | 81% |
| Medicaid / KanCare | $86 | 81% |
| Ccs/Monterey County | $86 | 81% |
| Healthy Families | $86 | 81% |
| Medi-Cal E.R. | $86 | 81% |
| Medi-Cal/Eds | $86 | 81% |
| California Childrens Srvs | $86 | 81% |
| Alliance/Sccho | $90 | 84% |
| Pinnacle Claims Tpa/Bc | $149 - $4,462 | 140% |
| Western Growers Trust/Bc | $149 - $4,462 | 140% |
| Western Health Advantage | $186 - $2,504 | 174% |
| Self Pay | $223 - $3,005 | 209% |
| Pacificare PPO | $223 - $3,005 | 209% |
| Health Net Smartcare Netw | $223 - $3,005 | 209% |
| Health Net Blue and Gold | $233 - $3,141 | 218% |
| Health Net of California | $233 - $3,141 | 218% |
| Health Net Canopycare HMO | $233 - $3,141 | 218% |
| Geha (Ccn) | $260 - $4,007 | 243% |
| Adventist Risk Management | $260 - $4,007 | 243% |
| Transwestern | $260 - $4,007 | 243% |
| First Health | $260 - $4,007 | 243% |
| State Compensation Fund | $272 - $4,462 | 255% |
| Claims Management Wc | $272 - $4,462 | 255% |
| Delta Health Systems | $272 - $4,462 | 255% |
| Robert Kennedy/Ccn | $272 - $4,462 | 255% |
| Calif Ironworkers Field | $272 - $4,462 | 255% |
| Sheet Metal Workers | $272 - $4,462 | 255% |
| Carpenters H&W Trust | $272 - $4,462 | 255% |
| Operating Engineers | $272 - $4,462 | 255% |
| City of Wats/Pinnacle Clm | $272 - $4,462 | 255% |
| Teamsters Benefit Trust | $272 - $4,462 | 255% |
| Monterey Bay Pub Emp Trst | $272 - $4,462 | 255% |
| Laborers Health & Welfare | $272 - $4,462 | 255% |
| Multiplan Inc PPO | $290 - $3,907 | 272% |
| Private Healthcare System | $290 - $3,907 | 272% |
| Salinas Valley Mem Hops | $316 - $4,258 | 296% |
| Coastal Healthcare Admin | $316 - $4,508 | 296% |
| Apwu Health Plan | $372 - $5,009 | 348% |
| North Calif Bakery Driver | $372 - $5,009 | 348% |
| Aaa | $372 - $5,009 | 348% |
| United Administrative | $372 - $5,009 | 348% |
| Miscellaneous Auto | $372 - $5,009 | 348% |
| Travelers Insurance | $372 - $5,009 | 348% |
| Bankers Life & Casualty | $372 - $5,009 | 348% |
| Miscellaneous Insurance | $372 - $5,009 | 348% |
| Aarp | $372 - $5,009 | 348% |
| Sutter Health Plus | $372 - $5,009 | 348% |
| Wholesale Beer Distributo | $372 - $5,009 | 348% |
| Farmers Insurance | $372 - $5,009 | 348% |
| Physicians Mutual | $372 - $5,009 | 348% |
| Humana | $372 - $5,009 | 348% |
| Prucare Pmg HMO | $372 - $5,009 | 348% |
| State Farm Ins | $372 - $5,009 | 348% |
| Zenith National Ins | $372 - $5,009 | 348% |
| Prucare Pmg POS | $372 - $5,009 | 348% |
| Allstate | $372 - $5,009 | 348% |