CMS Price Transparency Data
Ultrasound, thyroid and neck
Facility: Children's Hosp of Los Angeles
Billing Code: 76536 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 76536
- Insurance Median: $197
- Cash Discount Price: $308
- vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Children's Hosp of Los Angeles is $197. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $308. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.84x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
$308
Average discount available for prompt cash payment at this facility.
Insurance Median
$197
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: $308 (288%)
Insurance Median: $197 (184%)
Cash: $308 (288% of Medicare)
Ins. Median: $197 (184% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Inland Empire Health Plan | $46 - $177 | 43% |
| Medi-Cal | $46 - $86 | 43% |
| Molina | $46 - $181 | 43% |
| Altamed | $60 - $308 | 56% |
| Caloptima | $84 - $308 | 79% |
| Community Family Care IPA | $86 - $308 | 81% |
| Valley Presbyterian Hospital | $86 - $308 | 81% |
| Point Comfort Underwriters | $86 | 81% |
| Shriners Hospital | $92 | 86% |
| Medicaid / KanCare | $92 - $308 | 86% |
| La Care | $94 - $308 | 88% |
| Health Net | $107 - $385 | 100% |
| Choc Health Alliance | $107 | 100% |
| Incentive Health Network | $123 | 115% |
| Non-Contract Payors | $123 | 115% |
| Beech Street | $123 | 115% |
| Medicare (plans) | $123 - $132 | 115% |
| El Proyecto Del Barrio | $125 - $308 | 117% |
| Premier Physicians Ntwk | $125 - $308 | 117% |
| Centinela Valley IPA | $125 - $308 | 117% |
| Health Care La IPA | $125 - $308 | 117% |
| Watts Healthcare Mmc | $125 - $308 | 117% |
| Global Care Medical Group | $125 - $308 | 117% |
| Bella Vista Med Grp | $125 - $308 | 117% |
| Hollywood Presbyterian Medical Center | $129 - $308 | 121% |
| Champus | $130 | 122% |
| UnitedHealthcare | $134 - $308 | 125% |
| Heritage Provider Network | $137 - $308 | 128% |
| Blue Cross Blue Shield | $137 - $308 | 128% |
| Emanate Health Medical Center Mmc | $139 | 130% |
| Serendib Healthways Mmc | $139 - $308 | 130% |
| Kaiser | $144 - $176 | 135% |
| Serra Community Med Clinic | $147 - $308 | 138% |
| Axminster Medical Group | $148 - $224 | 139% |
| St. John's Health Clinic | $148 - $224 | 139% |
| Facey Medical Group | $148 - $224 | 139% |
| Care 1St | $150 - $308 | 140% |
| White Memorial Medical Center | $150 - $308 | 140% |
| St Francis Medical Center | $150 - $308 | 140% |
| Noble Community Medical Associates | $153 - $308 | 143% |
| Regent Medical Group | $153 - $308 | 143% |
| Karing Physicians Medical Group | $153 - $308 | 143% |
| Citrus Valley Phys Grp | $154 - $215 | 144% |
| Staywell Insurance | $154 | 144% |
| Adventist Health Physicians | $154 - $308 | 144% |
| Sansum Clinic | $154 | 144% |
| Pioneer Prov Ntwk | $154 | 144% |
| Mabuhay Medical Group | $154 - $308 | 144% |
| Gemcare IPA | $154 - $228 | 144% |
| Primary Care and Pediatric IPA | $154 - $308 | 144% |
| Managed Care Systems | $154 - $228 | 144% |
| Accarent Health | $154 | 144% |
| Exceptional Care Medical Group | $154 - $308 | 144% |
| Avalon IPA | $154 - $308 | 144% |
| Mercy Care | $154 | 144% |
| Alhambra Hospital Medical Center | $155 - $308 | 145% |
| Cal Care IPA | $156 - $308 | 146% |
| Preferred IPA | $159 - $308 | 149% |
| Hispanic Physician IPA | $159 - $308 | 149% |
| Associated Hispanic Physicians IPA | $159 - $308 | 149% |
| Pacific Alliance Medical Center | $159 - $308 | 149% |
| Gold Coast Health Plan | $159 - $308 | 149% |
| Beverly Hospital | $159 - $308 | 149% |
| Los Angeles Medical Center IPA | $160 - $308 | 150% |
| Book Md | $160 - $548 | 150% |
| San Judas Med Grp | $160 - $308 | 150% |
| Aetna | $160 - $170 | 150% |
| Family Health Alliance Med Grp | $162 - $308 | 152% |
| Good Samaritan Medical Group | $163 - $348 | 153% |
| Applecare Medical Group | $163 - $308 | 153% |
| Souther California Hosp System - Mmc | $164 - $308 | 154% |
| Accountable Health | $164 - $308 | 154% |
| Cencal Health | $165 - $308 | 154% |
| Cigna | $166 | 155% |
| Blue Shield | $166 - $308 | 155% |
| Family Care Specialists | $166 - $308 | 155% |
| Intl - Global Excel Management | $170 - $250 | 159% |
| National Healthcare Solutions | $170 | 159% |
| Choice Medical Group | $170 | 159% |
| Intl - Quality Health Management | $170 - $269 | 159% |
| Culinary Health Fund | $170 - $250 | 159% |
| Intl - Global Medical Management | $170 | 159% |
| Community Care | $170 | 159% |
| Employee Health Systems Med Grp | $171 - $308 | 160% |
| Crown City Medical Group | $171 - $308 | 160% |
| Seaside Health Plan | $171 - $308 | 160% |
| Angeles IPA | $171 - $308 | 160% |
| Imperial Health Holdings Medical Group | $175 - $308 | 164% |
| California Pacific Physicians Medical Group | $179 - $308 | 168% |
| Healthy New Life Medical Corp | $179 - $308 | 168% |
| Asian Community Medical Group | $179 - $308 | 168% |
| Access Medical Group | $182 - $340 | 170% |
| Seoul Medical Group | $182 - $368 | 170% |
| Private Hlthcare System | $185 | 173% |
| Self-Pay | $185 | 173% |
| Delta Health Systems | $185 | 173% |
| Allied Pacific IPA | $185 - $308 | 173% |
| Emanate Health Medical Center Commercial | $185 | 173% |
| Preferred IPA - Commercial | $185 | 173% |
| Ventura County Health Plan | $185 - $296 | 173% |
| Sanus Health | $185 | 173% |
| Bright Medical Associates | $185 | 173% |
| Community Care IPA Mmc | $189 - $308 | 177% |
| Dignity Health | $190 - $308 | 178% |
| Sierra Health and Life Insurance Company | $193 | 181% |
| Redlands Community Hospital | $200 | 187% |
| Intl - Concierge Healthcare Services | $200 | 187% |
| Axis Services International | $200 | 187% |
| Plotkin Health | $200 | 187% |
| Star Healthcare Network Commercial | $200 | 187% |
| Serra Community Med Clinic - Commercial | $200 | 187% |
| Intl - Msh China Enterprise Services | $200 | 187% |
| Embassy - Saudi Arabia | $200 | 187% |
| Intl - Aixin Life Insurance Co | $200 - $269 | 187% |
| Cedar Sinai Med Grp | $200 | 187% |
| Calvo Selectcare | $200 | 187% |
| Marian Health Services | $200 | 187% |
| Intl - Erv Travel Services | $200 - $216 | 187% |
| Prime Health Services | $200 | 187% |
| Lakewood Health Plan | $200 | 187% |
| Superior Choice Medical Group | $210 - $308 | 197% |
| Southland San Gabriel Valley Medical Group | $211 - $308 | 198% |
| Kern Family Health Plan | $211 - $308 | 198% |
| Providence Health Network | $215 | 201% |
| Beaver Medical Group | $216 | 202% |
| Memorialcare Med Foundation | $216 | 202% |
| Primecare Medical Network | $216 | 202% |
| Korean American Med Grp | $216 | 202% |
| Multiplan | $216 | 202% |
| Interlink Health Services | $231 | 216% |
| Prospect Medical Group | $231 | 216% |
| Embassy - Kuwait | $231 | 216% |
| Embassy - All Others | $247 | 231% |
| Self-Pay International | $247 | 231% |
| Southern Atlantic Medical Group Mmc | $293 - $308 | 274% |