CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $612
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 5.73x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at University of Texas M. D. Anderson Cancer Center is $612. 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 5.73x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$612

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: $612 (573%)
Ins. Median: $612 (573% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 573% of the Medicare baseline (a markup of 473%). 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.

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
UnitedHealthcare $18 - $656 17%
Texaschildrens $19 - $385 18%
Tricare $23 - $656 22%
Vacare $23 - $385 22%
Medicare (plans) $32 - $385 30%
Blue Cross Blue Shield $41 - $629 38%
Aetna $49 - $656 46%
Cigna $56 - $656 52%
Humana $155 - $673 145%
Ontarioministriesofhealth $192 - $647 180%
Beijingst.Lucia $194 - $656 182%
Embassyofqatar $194 - $656 182%
Memorialhermannhealth $194 - $656 182%
Emergingtherapysolutions_Cancercare $207 - $699 194%
Interlink_Cancercare $207 - $699 194%
Saudiarmedforces $207 - $699 194%
Uae_Medical $207 - $699 194%
Uaepoliceattache $207 - $699 194%
Healthsmart $220 - $743 206%
Vantage $220 - $743 206%
Multiplan $256 - $752 240%
Phcs $256 - $752 240%
Emergingtherapysolutions $656 - $699 614%
Interlink $656 - $743 614%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Holcombe Blvd, Houston, TX 77030
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL