CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Fort Duncan Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $934
Cash Discount Price: $790
vs. Medicare Baseline: 8.74x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Fort Duncan Medical Center is $934. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $790. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 8.74x the Medicare baseline. Located in 3333 N Foster Maldonado Blvd, Eagle Pass, TX.

Cash / Self-Pay

$790

Average discount available for prompt cash payment at this facility.

Insurance Median

$934

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: $790 (740%)

Insurance Median: $934 (874%)

Cash: $790 (740% of Medicare)

Ins. Median: $934 (874% 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 874% of the Medicare baseline (a markup of 774%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Superior	$137	128%
Driscoll	$141	132%
Molina	$144	135%
United_Healthcare	$144 - $891	135%
Blue_Cross_Blue_Shield_Of_Tx	$370 - $451	346%
Eagle_Pass_Isd	$748 - $934	700%
Cigna	$1,089 - $1,360	1020%
Aetna	$1,374 - $1,716	1286%
Healthsmart	$1,652 - $2,063	1547%
Multiplan	$1,652 - $2,063	1547%

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 $790.
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 Fort Duncan 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.