CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Titus Regional Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $89
Cash Discount Price: $328
vs. Medicare Baseline: 0.83x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Titus Regional Medical Center is $89. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $328. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.83x the Medicare baseline. Located in 2001 N Jefferson, Mount Pleasant, TX.

Cash / Self-Pay

$328

Average discount available for prompt cash payment at this facility.

Insurance Median

$89

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: $328 (307%)

Insurance Median: $89 (83%)

Cash: $328 (307% of Medicare)

Ins. Median: $89 (83% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Christus Health Plan	$19 - $106	18%
Humana	$19 - $382	18%
Tricare	$19 - $106	18%
Triwest	$19 - $107	18%
UnitedHealthcare	$19 - $546	18%
Texas Mutual	$20 - $110	19%
Curative	$21 - $186	20%
Blue Cross Blue Shield	$22 - $546	21%
Superior	$23 - $135	22%
Healthcare Highways	$24 - $218	22%
Claritev	$28 - $437	26%
Aetna	$41 - $165	38%
Healthsmart	$66 - $382	62%
Cigna	$75 - $437	70%
Galaxy Health	$89 - $519	83%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $328.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76536.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Titus Regional Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76536.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.