CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Texas Scottish Rite Hospital for Children

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $91
Cash Discount Price: $478
vs. Medicare Baseline: 0.85x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Texas Scottish Rite Hospital for Children is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $478. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.85x the Medicare baseline. Located in 2222 Welborn Street, Dallas, TX.

Cash / Self-Pay

$478

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: $478 (448%)

Insurance Median: $91 (85%)

Cash: $478 (448% 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.

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
Aetna	$18 - $393	17%
Tricare	$28 - $116	26%
Blue Cross Blue Shield	$32 - $446	30%
Cigna	$47 - $694	44%
Firstcare Health Comm - All Other Plans	$61 - $608	57%
Healthscope - All Plans	$65 - $651	61%
Scott & White Comm- All Other Plans	$65 - $651	61%
UnitedHealthcare	$65 - $564	61%
Children Med Center Health Plan - All Plans	$87 - $382	81%
Community First Health Plan-All Plans	$87 - $382	81%
Cook Childrens Hp-All Plans	$87 - $382	81%
Driscoll Childrens-All Plans	$87 - $382	81%
Medicaid / KanCare	$87 - $382	81%
Molina Commercial - All Other Plans	$87 - $382	81%
Soonercare-All Plans	$87 - $382	81%
Firstcare Health Mcaid	$91 - $401	85%
Tx Childrens Hlth Mcaid-All Plans	$91 - $401	85%

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 $478.
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 Texas Scottish Rite Hospital for Children 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.