Ultrasound, thyroid and neck
Facility: Intermountain Health Sanpete Valley Hospital
Billing Code: 76536 (CPT)
- CPT Billing Code: 76536
- Insurance Median: $664
- Cash Discount Price: $524
- vs. Medicare Baseline: 6.22x 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 622% of the Medicare baseline (a markup of 522%). 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 |
|---|---|---|
| Health Partners of Nevada | $27 - $210 | 25% |
| Humana | $27 - $664 | 25% |
| Blue Cross Blue Shield | $27 - $664 | 25% |
| Aetna | $27 - $671 | 25% |
| Healthy U | $27 - $622 | 25% |
| Molina | $27 - $664 | 25% |
| Health Plan of Nevada | $27 - $622 | 25% |
| Selecthealth | $27 - $664 | 25% |
| UnitedHealthcare | $27 - $664 | 25% |
| American Health | $27 - $210 | 25% |
| Triwest | $218 - $631 | 204% |
| Lw Miller | $339 - $664 | 317% |
| Emi | $339 - $664 | 317% |
| Campbell Scientific | $339 - $664 | 317% |
| Juniper Systems | $339 - $664 | 317% |
| Utah Tech | $339 - $664 | 317% |
| Pehp | $339 - $664 | 317% |
| Cigna | $339 - $664 | 317% |
| Deseret Mutual | $339 - $664 | 317% |
| Awh Connected | $339 - $671 | 317% |
| Ifit | $339 - $664 | 317% |
| Motivhealth | $339 - $664 | 317% |
| Health Utah | $339 - $664 | 317% |
| Emi Health | $339 - $664 | 317% |
| Prodegi Corp Benefit | $339 - $664 | 317% |
| Franklin County | $339 - $664 | 317% |
| Byu Athletics | $339 - $664 | 317% |
| Wise Network | $339 - $664 | 317% |
| Tanner LLC | $339 - $664 | 317% |
| Managed Care Admin | $339 - $664 | 317% |
| Injury Care of Nevada | $524 | 491% |
| Corvel Corporation | $594 | 556% |
| Byu Risk Management | $594 | 556% |
| Corporation of the President | $594 | 556% |
| Wcf Insurance | $594 | 556% |
| Uofu | $664 | 622% |
| Hygeia Corporation | $664 | 622% |
| Springtide | $664 | 622% |
| Medcare International | $664 | 622% |
| Global Excel | $664 | 622% |