CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Medical Center of McKinney

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $559
  • Cash Discount Price: $2,300
  • vs. Medicare Baseline: 5.23x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Medical Center of McKinney is $559. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,300. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.23x the Medicare baseline. Located in 4500 Medical Center Drive, McKinney, TX.
Cash / Self-Pay
$2,300

Average discount available for prompt cash payment at this facility.

Insurance Median
$559

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: $2,300 (2153%)
Insurance Median: $559 (523%)
Cash: $2,300 (2153% of Medicare)
Ins. Median: $559 (523% 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 523% of the Medicare baseline (a markup of 423%). 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
Amerigroup $105 98%
Parkland Community Health Plan $105 98%
United $105 - $542 98%
Cigna $110 - $2,318 103%
Aetna $113 - $2,106 106%
Molina $115 - $117 108%
Superior Health Plan $119 - $203 111%
Humana $131 - $1,883 123%
Blue Cross Blue Shield $133 - $1,286 125%
Healthcare Highways $417 - $979 390%
Evry Health $439 - $748 411%
Unicare $443 - $2,897 415%
City Of Mckinney $596 - $1,014 558%
Curative Administrators $681 - $1,159 638%
Fidelis Securecare $766 - $1,304 717%
National Choicecare $851 - $1,449 797%
Pc Texas Partners $936 - $1,594 876%
Physicians Coop Of Tx $936 - $1,594 876%
Rockport Health Group $936 - $1,594 876%
Averde Health, Inc $987 - $1,680 924%
Magellan Bh $1,021 - $1,738 956%
Value Options Behavioral Health $1,021 - $1,738 956%
Coastal Comp Health Networks $1,192 - $2,028 1116%
Mega Life $1,192 - $2,028 1116%
Multiplan Phcs $1,192 - $2,028 1116%
Lewisville Isd/Dls Consulting $1,277 - $2,173 1196%
Compsych Corporation $1,362 - $2,318 1275%
Healthsmart Preferred Care $1,362 - $2,318 1275%
Usa Managed Care $1,362 - $2,318 1275%
Galaxy Health Network $1,447 - $2,463 1355%
Independent Medical Systems $1,702 - $2,897 1593%
National Healthcare Solutions $1,702 - $2,897 1593%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4500 Medical Center Drive, McKinney, TX 75069
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals