CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Comanche County Medical Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $91
  • Cash Discount Price: $235
  • vs. Medicare Baseline: 0.85x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Comanche County Medical Center is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $235. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.85x the Medicare baseline. Located in 10201 Hwy 16, Comanche, TX.
Cash / Self-Pay
$235

Average discount available for prompt cash payment at this facility.

Insurance Median
$91

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: $235 (220%)
Insurance Median: $91 (85%)
Cash: $235 (220% of Medicare)
Ins. Median: $91 (85% 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
Swhp Comm - All Other Plans $23 - $1,048 22%
Blue Cross Blue Shield $24 - $95 22%
Choicecare Comm - All Other Plans $26 - $235 24%
Choicecare Mcr Adv $26 - $235 24%
Humana $26 - $444 24%
Molina Mcr Adv - All Other Plans $26 - $235 24%
Pphp Mcr Adv - All Plans $26 - $235 24%
Superior Epo/Hmo - All Plans $26 - $235 24%
Swhp Mcr Adv $26 - $235 24%
Wellmed Mcr Adv - All Plans $26 - $235 24%
Aetna $27 - $400 25%
First Care Hmo - All Other Plans $27 - $540 25%
First Care Hmo Self Funded $27 - $540 25%
Occunet - All Plans $34 - $476 32%
Alliance Wc - All Plans $39 - $352 37%
Cigna $57 - $413 53%
Molina Mcaid $88 - $400 82%
Swhp Mcaid $88 - $400 82%
Mpi - All Plans $572 536%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10201 Hwy 16, Comanche, TX 76442
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals