CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Ascension Providence

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $107
  • Cash Discount Price: $197
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Ascension Providence is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.00x the Medicare baseline. Located in 6901 Medical Parkway, Waco, TX.
Cash / Self-Pay
$197

Average discount available for prompt cash payment at this facility.

Insurance Median
$107

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: $197 (184%)
Insurance Median: $107 (100%)
Cash: $197 (184% of Medicare)
Ins. Median: $107 (100% 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
Medicare (plans) $104 - $107 97%
Tricare $104 97%
Va $104 97%
Aetna $106 99%
UnitedHealthcare $106 - $111 99%
Blue Cross Blue Shield $107 - $275 100%
Medicaid / KanCare $107 - $111 100%
Superior Chip/Chip Perinate $107 - $111 100%
Superior Star $107 - $111 100%
Superior Star Plus $107 - $111 100%
Swhp Rightcare Star $107 - $111 100%
Wellpoint Star $107 - $111 100%
Mclennan County Indigent $111 104%
Smarthealth $146 137%
Ambetter / Centene $156 146%
Green Imaging $156 146%
Firstcare Focus Network $188 176%
Firstcare Hmo $206 193%
Cigna $297 - $326 278%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6901 Medical Parkway, Waco, TX 76712
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals